1. Home
  2. Directory
  3. District Of Columbia
  4. Washington
  5. Internal Medicine
  6. NPI Profile

MCMG
NPI 1295987436
Internal Medicine in Washington, DC

Active since October 21, 2008CLIA 09D1092357 · Waiver
1160 VARNUM ST NE, SUITE # 008, WASHINGTON, DC 20017(202) 526-3897(202) 526-7723 Get Directions Write a Review

NPPES record last updated: January 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mcmg NPPES

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

MCMG (NPI 1295987436) is a healthcare organization registered as an internal medicine in Washington, District Of Columbia and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Ferdinand P Chua, President, as its authorized official.

NPPES Registry Identity

NPI1295987436
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAMONLUK CHUA MEDICAL GROUP, PC
Location Address1160 VARNUM ST NE, SUITE # 008Washington, DC 20017-2110
Mailing Address1160 Varnum St Ne, Suite # 008Washington, DC 20017-2110 · (202) 526-3897 · Fax (202) 526-7723
Phone(202) 526-3897
Fax(202) 526-7723
Organization SubpartNo
Authorized OfficialFerdinand P ChuaPresident · (202) 526-3897
Enumeration DateOctober 21, 2008
Last NPPES UpdateJanuary 19, 2015
✔ NPI 1295987436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DC · MD037395
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License MD037327 (DC)
1160 VARNUM ST NE, Washington, DC 20017
Open in Google Maps ↗

Other Names 1

Other NameMcmg

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 09D1092357

Mamonluk Chua Medical Group, PC · Washington, DC
Active · expires Nov 20, 2026
CLIA Number09D1092357
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorFerdinand P. Chua
Laboratory Phone(202) 526-3897
Laboratory LocationMamonluk Chua Medical Group, PC1160 Varnum Street NE Room #008, Washington, DC 20017
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MS. UCHENNA ANTHONIA OBICHERE CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1160 VARNUM ST NE, SUITE 317
WASHINGTON, DC 20017
District of Columbia (202) 636-1130
PHS INTERNAL MEDICINE DP317
Internal Medicine
1160 VARNUM ST NE, DEPAUL 317
WASHINGTON, DC 20017
District of Columbia (202) 640-4837
YULIZA ABIGAIL LEMUS GAMES
Behavior Technician
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 525-1448
ANITA KUNWAR MD
Internal Medicine
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 854-7785
RESOURCE PHARMACY INCORPORATED
Pharmacist
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 832-2200
PHS MULTISPECIALTY SERVICES
Surgery
1160 VARNUM ST NE, DEPAUL 300
WASHINGTON, DC 20017
District of Columbia (202) 854-4014
PHS INTERNAL MEDICINE DP311
Internal Medicine
1160 VARNUM ST NE, DEPAUL 311
WASHINGTON, DC 20017
District of Columbia (202) 854-4470
BRANDI DENISE FISHER
Behavior Technician
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 525-1448

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 Mamonluk Chua Medical Group, PC's NPI number?

The NPI number for Mamonluk Chua Medical Group, PC is 1295987436. It was assigned to this organization in the NPPES registry on October 21, 2008. The provider is also known as Mcmg.

Where is Mamonluk Chua Medical Group, PC located?

Mamonluk Chua Medical Group, PC is located at 1160 Varnum St NE Suite # 008, Washington, DC 20017. The listed phone number is (202) 526-3897.

What is Mamonluk Chua Medical Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mamonluk Chua Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 09D1092357) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mamonluk Chua Medical Group, PC was last updated on January 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.