Individual provider Active NPI

John E Yerg II, M.D.

  • Pulmonary Disease Physician
  • Washington, DC
National Provider Identifier
1992794101
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
15876 Issued in DC
Practice address
5410 Connecticut Ave NW
Suite 117
Washington, DC 20015-2859
Phone
(202) 966-8868
Fax
(202) 244-3071
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 15876 DC Primary
Pulmonary Disease Physician 207RP1001X D33554 MD

Addresses

Primary practice location

5410 Connecticut Ave NW
Suite 117
Washington, DC 20015-2859

Mailing address

5410 Connecticut Ave NW
Suite 117
Washington, DC 20015-2859
Phone (202) 966-8868

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
I20041221000516 DC Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6002874112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15876DCMDPulmonary Disease Physician
D33554MDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1992794101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 CONNECTICUT AVE NW",
            "address_2": "SUITE 117",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152859",
            "telephone_number": "202-966-8868",
            "fax_number": "202-244-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 CONNECTICUT AVE NW",
            "address_2": "SUITE 117",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152859",
            "telephone_number": "202-966-8868",
            "fax_number": "202-244-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERG",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "DC",
            "license": "15876",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D33554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.