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DR. OPAL E. PETTIS MD
NPI 1083798060
Psychiatry & Neurology - Child & Adolescent Psychiatry in Washington, DC

Active since October 25, 2006PECOS Enrolled
2301 M ST NW, KAISER PERMANENTE NORTHWEST DC MEDICAL CENTER, WASHINGTON, DC 20037(202) 419-6200 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2022, Jun 2, 2021 (2 updates tracked since 2021).

About Dr. Opal E. Pettis Md NPPES

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

DR. OPAL E. PETTIS MD (NPI 1083798060) is an individual child & adolescent psychiatry provider in Washington, District Of Columbia, licensed in District Of Columbia (MD042343) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083798060
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. OPAL E. PETTISCredential: MD
Location Address2301 M ST NW, KAISER PERMANENTE NORTHWEST DC MEDICAL CENTERWashington, DC 20037-1427
Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424
Phone(202) 419-6200
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1083798060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in DC · MD042343✔ Licensed in CA · A48065
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 042343 (DC)
2301 M ST NW, Washington, DC 20037
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Other Names 1

Former Name (1)Opal E. Thornton

Other Identifiers 1

Medicaid00A480650CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Opal E. Pettis Md 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.

Other Providers at the Same Location NPPES 15

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

AVANI PATEL ARORA PHARMD
Pharmacist
2301 M ST NW, PHARMACY
WASHINGTON, DC 20037
District of Columbia (202) 419-6900
MS. PAMELA DENISE WARING RPH
Pharmacist
2301 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 419-6900
AMI NORMAN LEVY LCSW
Social Worker (Clinical)
2301 M ST NW, 3RD FLOOR
WASHINGTON, DC 20037
District of Columbia (202) 419-6971
DR. MARK SAMUEL EPSTEIN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2301 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 419-6367
MISS CASSANDRA BATICHON MD
Family Medicine (Adult Medicine)
2301 M ST NW
WASHINGTON, DC 20037
District of Columbia (844) 549-0597
MRS. STEPHANIE STAPLES HACK M.D.
Obstetrics & Gynecology
2301 M ST NW, DEPARTMENT OF OBSTETRICS AND GYNECOLO
WASHINGTON, DC 20037
District of Columbia (202) 419-6300
DR. AMAR PRAKASH DAVE M.D.
Internal Medicine
2301 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 419-6200
DR. CHENERE EVANS
Psychologist
2301 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 419-6950

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 Opal Pettis's NPI number?

The NPI number for Opal Pettis is 1083798060. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Opal E. Thornton.

Where is Opal Pettis located?

Opal Pettis practices at 2301 M St NW Kaiser Permanente Northwest Dc Medical Center, Washington, DC 20037. The listed phone number is (202) 419-6200.

What is Opal Pettis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Opal Pettis enrolled in Medicare?

Yes. Opal Pettis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Opal Pettis was last updated on February 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.