Individual provider Active NPI

Reggie C Elliott, MD

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1972563823
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223883 Issued in NY
Practice address
40 Patterson St NE
Washington, DC 20002-3334
Phone
(202) 216-0245
NPI assigned
Mar 24, 2006
Last updated
May 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 223883 NY Primary

Addresses

Primary practice location

40 Patterson St NE
Washington, DC 20002-3334

Mailing address

40 Patterson St NE
Washington, DC 20002-3334

Other identifiers 1

IdentifierTypeStateIssuer
02366741MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120807000543 DC Practitioner - Family Practice 0941250559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Care Inc.Group PAC ID 3476647264, 151 clinicians

Practice addresses (Care Compare)

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7222

3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300

765 Kenilworth Ter NE
Washington, DC 20019-1898
Phone (202) 388-8160

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223883NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Jun 23, 2012 Accepting new patients
Unity Health Care Inc. CurrentSince Jun 23, 2012 Accepting new patients

Locations

1251 Saratoga Ave NE
#B
Washington, DC 20018
Phone (202) 832-8818

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

765 Kenilworth Ter NE
Washington, DC 20019
Phone (202) 388-8160

Interoperability endpoints

  • Direct secure messaging: reggie.elliott@uhci.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1972563823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PATTERSON ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PATTERSON ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023334",
            "telephone_number": "202-216-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "REGGIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02366741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.