Reverly M John
Internal Medicine (Critical Care Medicine)

Address: 1310 Southern Ave Se, Washington, DC 20032-4623
Phone: 2025746000

Reverly M John (NPI# 1689751505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1689751505
Entity Type Individual
Full Name Reverly M John
Credential MBBS
Gender Female
Practice Address 1310 Southern Ave Se
Washington
DC 20032-4623
Practice Telephone 2025746000
Mailing Address 1310 Southern Ave Se
Washington
DC 20032-4623
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-11-01
Last Update Date 2010-11-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RC0200X Internal Medicine · Critical Care Medicine Allopathic & Osteopathic Physicians 102792 MN
No 207RC0200X Internal Medicine · Critical Care Medicine Allopathic & Osteopathic Physicians 49159 MN

Physician Overview

NPI 1689751505
PAC ID by PECOS 0648278960
Professional Enrollment ID I20071029000059
Full Name Reverly M John
Organization Legal Name HOWARD UNIVERSITY
Phone Number 2028654132
Gender F
Credential MD
Graduation Year 1996
Primary Specialty CRITICAL CARE (INTENSIVISTS)
Secondary Specialties PULMONARY DISEASE
Group Practice PAC ID 0941109565
Number of Group Practice Members 144
Accepts Medicare Assignment Y
Report Quality Measures Y
Participated in Million Hearts Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
090003 HOWARD UNIVERSITY HOSPITAL

Office Location

Street Address 1310 SOUTHERN AVE SE
City WASHINGTON
State DC
Zip Code 20032-4623

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NPI Name Taxonomy Address Enumeration
1497748008 Ker-shi Wang Anesthesiology 1310 Southern Ave Se, Washington, DC 20032-4623 2005-08-30
1043783905 Qualinova Care Inc Hospitalist 1310 Southern Ave Se, Washington, DC 20032-4623 2019-01-03
1821576307 Alyssa Jeanne Caouette Physician Assistant 1310 Southern Ave Se, Washington, DC 20032-4623 2018-08-06
1851806012 Me & 2ns, LLC Internal Medicine 1310 Southern Ave Se, Washington, DC 20032-4623 2017-12-11
1710408885 Olivia Anaele-nwogu Nurse Practitioner 1310 Southern Ave Se, Washington, DC 20032 2017-06-29
1487180972 Ifreke Udodong Clinical Nurse Specialist 1310 Southern Ave Se, Washington, DC 20032-4623 2017-05-04
1851835847 Evelyn Worlali Nuwordu Nurse Practitioner 1310 Southern Ave Se, Washington, DC 20032-4623 2016-12-09
1356891030 Uruk LLC Internal Medicine 1310 Southern Ave Se, Washington, DC 20032-4623 2016-10-06
1740735794 First Care Medical Services Corporation Internal Medicine 1310 Southern Ave Se, Washington, DC 20032-4623 2016-08-19
1003277351 Breathe Dc, Inc. Public Health or Welfare 1310 Southern Ave Se, Suite G-082, Washington, DC 20032-4623 2016-03-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407321417 Abigail Christine Burke Physical Therapist 3146 Arnold Avenue Sw, Washington, DC 20032 2018-10-05
1962997429 Kavondra Thomas Technician 303 Livingston Terrance Se Apt B, Apt B, Washington, DC 20032 2018-06-27
1861987315 Brenda Joyce Jones Technician 896 Southern Ave Se Apt 106, Washington, DC 20032 2018-06-27
1780102517 Vanessa Walker Home Health Aide 1333 Savannah Street Se 3, Washington, DC 20032 2017-08-31
1841712775 Nelly M Ngadie Home Health Aide 4660 Martin Luther King Jr Ave Sw Apt B608, Washington, DC 20032 2017-07-12
1497285233 Denise N Batuuka Student in an Organized Health Care Education/Training Program Saint Elizabeth Hospital - Psychiatry Residency Program, 1100 Alabama Avenue, Se, Washington, DC 20032 2017-06-14
1265961676 Atasia Stevenson Home Health Aide 607 Savannah St Se, Apt 3, Washington, DC 20032 2017-06-08
1477082899 Khadijah Alima Long Home Health Aide 609 Forrester St Se, Washington, DC 20032 2017-06-08
1376078469 Daja Moorer Home Health Aide 3322 14th Pl Se, Apt#302, Washington, DC 20032 2017-04-26
1275067357 Andrea Epps Home Health 4307 3rd Street Southeast, 203, Washington, DC 20032 2017-04-17
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780056168 M Medical Group, Inc. Internal Medicine 4806 U St Nw, Washington, DC 20007-1546 2015-10-26
1700011632 Rebecca Krochmal Internal Medicine 3800 Reservoir Rd Nw Ste M4200, Washington, DC 20007-2113 2009-05-21
1962636514 Andrew Daniel Lerner Internal Medicine 5215 Loughboro Rd Nw Ste 420, Washington, DC 20016-2627 2009-05-12
1487796215 Serena J Fox Internal Medicine 2940 28th St Nw, Washington, DC 20008-3413 2007-02-12
1477613958 Lawrence S. Lepler Internal Medicine 2 Wramc Rm 2j38, 6900 Georgia Ave, Washington, DC 20307-0001 2006-12-12
1073519823 Mina M Yacoub Internal Medicine 1328 Southern Ave Se, Ste 312, Washington, DC 20020 2005-06-27
1376973362 Anacostia Medical Associates Internal Medicine 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 2013-11-12
1154753564 Adad Complex Medical Internal Medicine 1310 Southern Ave Se, Washington, DC 20032-4623 2013-08-07
1649530635 Ivana Milojevic Internal Medicine 2150 Pennsylvania Ave Nw Ste 8-404, Washington, DC 20037-3201 2012-05-23
1750663217 Abhishek Sharma Internal Medicine 155 Wilson Ave, Washington, PA 15301-3336 2011-09-12
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City WASHINGTON
Zip Code 20032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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