OrganizationActive
Phs Internal Medicine Pmb202
NPI 1326316936 · Internal Medicine Physician · Washington, DC
Provider details
- NPI number
- 1326316936
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Hospital
- Organization subpart
- Yes
- Authorized official
- Charles Haberkern, Vp(202) 854-4255
- License
- HFD01-0212 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Hospitals
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1140 Varnum St Ne
Pmb 202
Washington, DC 20017-2151
Phone: (202) 854-4242
Fax: (202) 854-4245
Street-level locationGet directions
Mailing address
1160 Varnum St Ne
Washington, DC 20017-2107
Other names (DBA / former)
- Other name
- Providence Health Services
Registry dates
- Enumerated
- 2011-12-09
- Last updated
- 2016-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.