DR. JEFFREY S DOME MD NPI 1902809197

NPI Information

NPI: 1902809197
Provider Name: DR. JEFFREY S DOME, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
111 MICHIGAN AVE NW
CHILDREN'S NATIONAL MEDICAL CENTER
WASHINGTON, DC
ZIP 20010
Phone: (202) 476-2800
Get Directions

DR. Jeffrey S Dome, MD is a pediatric hematology-oncology pediatrics in Washington, DC. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Jeffrey S Dome, MD NPI is 1902809197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 MICHIGAN AVE NW
CHILDREN'S NATIONAL MEDICAL CENTER
WASHINGTON, DC
ZIP 20010-916
Phone: (202) 476-2800
Fax: (202) 476-5685

The NPI 1902809197 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 10/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	MD036384	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0527630	MEDICAID	IOWA
2	1548669	MEDICAID	LOUISIANA
3	F94483	OTHER	TENNESSEE	UPIN
4	010017688	MEDICAID	VIRGINIA
5	2045058	MEDICAID	OHIO
6	205027006	MEDICAID	MISSOURI
7	7612398	MEDICAID	NORTH CAROLINA
8	00119084	MEDICAID	MISSISSIPPI
9	3821464	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE
10	009912830	MEDICAID	ALABAMA
11	104788409	MEDICAID	MICHIGAN
12	1135554 00	MEDICAID	WYOMING
13	804006	MEDICAID	ARIZONA
14	060474601	MEDICAID	TEXAS
15	133502001	MEDICAID	ARKANSAS
16	422400000	MEDICAID	MAINE
17	64928674	MEDICAID	KENTUCKY
18	0030431	MEDICAID	NEW JERSEY
19	3821464	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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