Individual provider Active NPI

Ilene S Buarque de Macedo, MD

  • Specialist
  • Washington, DC
National Provider Identifier
1932157146
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD18813 Issued in DC
Practice address
1327 18TH Street NW
Washington, DC 20036
Phone
(202) 785-2400
Fax
(202) 452-1853
NPI assigned
May 4, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD18813 DC Primary
Specialist 174400000X D0040982 MD

Addresses

Primary practice location

1327 18TH Street NW
Washington, DC 20036

Mailing address

6305 Mountain Branch Court
Bethesda, MD 20817
Phone (301) 320-6919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081031000283 DC Practitioner - Neurology 6800955121 Reassigns benefits to 1 organization
I20210723000974 CA Practitioner - NeurologyPractitioner - Other (Physician) 6800955121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0040982MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Medical Group PC CurrentSince Sep 25, 2010 Accepting new patients
South Coast Neurology Inc CurrentSince May 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1919 State St
Ste 203
Santa Barbara, CA 93101
Phone (805) 220-4300

1327 18th St NW
Washington, DC 20036
Phone (202) 785-2400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1932157146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 MOUNTAIN BRANCH COURT",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20817",
            "telephone_number": "301-320-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 18TH STREET NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20036",
            "telephone_number": "202-785-2400",
            "fax_number": "202-452-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUARQUE DE MACEDO",
        "first_name": "ILENE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD18813",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0040982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.