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BERTHA KOOMSON
NPI 1063445856
Pediatrics in Washington, DC

Active since July 08, 2006PECOS Enrolled
4910 MASSACHUSETTS AVE NW, #217, WASHINGTON, DC 20016(202) 244-1553(202) 244-2192 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bertha Koomson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERTHA KOOMSON (NPI 1063445856) is an individual pediatrics provider in Washington, District Of Columbia, licensed in District Of Columbia (CS9810758) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063445856
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBERTHA KOOMSON
Location Address4910 MASSACHUSETTS AVE NW, #217Washington, DC 20016-4300
Mailing Address4910 Massachusetts Ave Nw, #217Washington, DC 20016-4300 · (202) 244-1553 · Fax (202) 244-2192
Phone(202) 244-1553
Fax(202) 244-2192
Sole ProprietorNo
Enumeration DateJuly 8, 2006
Last NPPES UpdateFebruary 18, 2010
✔ NPI 1063445856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in DC · CS9810758
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency MedicineTaxonomy 207P00000X · License D56918 (MD)
4910 MASSACHUSETTS AVE NW, Washington, DC 20016
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Other Identifiers 3

Medicare PIN008271M30DC
Medicare PIN370022123DC
Medicare UPINE63952MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bertha Koomson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Bertha Koomson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Care Center LLC
4.6 mi
Internal Medicine
950 N GLEBE RD, SUITE 4000
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 242 clinicians in this Medicare group
NPI 1164874426 (571) 366-8850
Privia Medical Group, LLC
4.6 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELISE NEY M.A, CCC-A
Audiologist
4910 MASSACHUSETTS AVE NW, STE 29
WASHINGTON, DC 20016
District of Columbia (202) 362-4300
MELANIE J BUTTROSS MD
Ophthalmology
4910 MASSACHUSETTS AVE NW, STE 21
WASHINGTON, DC 20016
District of Columbia (202) 686-6700
DR. SARAH MCGARRY CONNELLY MD
Internal Medicine (Infectious Disease)
4910 MASSACHUSETTS AVE NW
WASHINGTON, DC 20016
District of Columbia (202) 537-7400
DR. MARGARETIA L JACKSON M.D.
Pediatrics
4910 MASSACHUSETTS AVE NW, SUITE 217
WASHINGTON, DC 20016
District of Columbia (202) 244-1553
PAUL T GAVARIS MD
Ophthalmology
4910 MASSACHUSETTS AVE NW, STE 21
WASHINGTON, DC 20016
District of Columbia (202) 686-0239
DR. NAHID MALEKI DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
4910 MASSACHUSETTS AVE NW, SUITE 319
WASHINGTON, DC 20016
District of Columbia (202) 244-3600
DR. SHAWNA LEIGH HAWK DDS
Dentist
4910 MASSACHUSETTS AVE NW, SUITE 210
WASHINGTON, DC 20016
District of Columbia (202) 362-7726
NEY ASSOCIATES INC.
Audiologist-Hearing Aid Fitter
4910 MASSACHUSETTS AVE NW, SUITE 29
WASHINGTON, DC 20016
District of Columbia (202) 362-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bertha Koomson's NPI number?

The NPI number for Bertha Koomson is 1063445856. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Bertha Koomson located?

Bertha Koomson practices at 4910 Massachusetts Ave NW #217, Washington, DC 20016. The listed phone number is (202) 244-1553.

What is Bertha Koomson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bertha Koomson enrolled in Medicare?

Yes. Bertha Koomson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bertha Koomson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bertha Koomson reassigns Medicare benefits to 2 organizations: Privia Care Center LLC (Arlington, VA) and Privia Medical Group, LLC (Arlington, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bertha Koomson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bertha Koomson was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.