Individual provider Active NPI

Elizabeth Moccia

  • Pediatrics Physician
  • Clinton, MD
National Provider Identifier
1992264147
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD210002154 Issued in DC
Practice address
9015 Woodyard Rd Ste 111
Clinton, MD 20735-4226
Phone
(301) 599-0900
Fax
(301) 599-7828
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD210002154 DC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

9015 Woodyard Rd Ste 111
Clinton, MD 20735-4226

Mailing address

PO Box 744787
Atlanta, GA 30374-4787
Phone (202) 476-5000

Other practice location 1

111 Michigan Ave NW
Washington, DC 20010-2916
Phone (202) 476-5000

Other practice location 2

3839 1/2 Alabama Ave SE
Washington, DC 20020-1001
Phone (202) 582-6800

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
I20220611000252 DC Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 6204164858 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince Jun 2, 2022 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Jun 2, 2022 Accepting new patients
Children'S Pediatricians & Associates, LLC Pediatrics PastSince May 18, 2025 Accepting new patients
Children'S Pediatricians & Associates, LLC Pediatrics Past Accepting new patients
Children'S Pediatricians & Associates, LLC Pediatrics PastSince Feb 9, 2025 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1992264147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744787",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744787",
            "telephone_number": "202-476-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 WOODYARD RD STE 111",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354226",
            "telephone_number": "301-599-0900",
            "fax_number": "301-599-7828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Michigan Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102916",
            "country_code": "US",
            "telephone_number": "202-476-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3839 1/2 Alabama Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200201001",
            "country_code": "US",
            "telephone_number": "202-582-6800",
            "fax_number": "202-584-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCCIA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD210002154",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.