Providence Health Services Inc
NPI 1669453809 · Family Medicine Physician · Washington, DC
Enrolled with Medicare as Mdpp Supplier - In-Person Mdpp Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Health Services Inc is a Family Medicine Physician organization in Washington, DC (NPI 1669453809).
Provider details
- NPI number
- 1669453809
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Hospital
- Organization subpart
- Yes
- Authorized official
- Mitchell Lomax, Vice President/Cfo(667) 234-2926
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
- Health Service Psychologist103TH0100X
Behavioral Health & Social Service Providers
Agencies
- Nurse Practitioner363L00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Other name
- Providence Hospital
- Other name
- Providence Hospital
Additional practice locations (1)
- 1150 Varnum St NeWashington, DC 20017-2104Phone: (202) 854-4069Fax: (202) 854-7825
Registry dates
- Enumerated
- 2005-11-06
- Last updated
- 2023-11-01
- Certified
- 2023-11-01
Frequently asked questions
- What is Providence Health Services Inc's NPI number?
- Providence Health Services Inc's National Provider Identifier (NPI) is 1669453809, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health Services Inc?
- Providence Health Services Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health Services Inc located?
- Providence Health Services Inc's practice location on file with NPPES is 1160 Varnum St Ne, Washington, DC 20017-2107.
- What is Providence Health Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Providence Health Services Inc is (202) 854-7000.
- Does Providence Health Services Inc accept Medicare?
- Providence Health Services Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence Health Services Inc?
- The authorized official listed on Providence Health Services Inc's NPPES record is Mitchell Lomax, Vice President/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health Services Inc's NPI active?
- Yes — Providence Health Services Inc's NPI (1669453809) is active in the NPPES registry as of the last update on 2023-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.