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KINDBODY OF DC MEDICAL PRACTICE
NPI 1306500665
Obstetrics & Gynecology - Reproductive Endocrinology in Washington, DC

Active since October 23, 2021CLIA 09D2240389 · Accreditation
1111 19TH ST NW, WASHINGTON, DC 20036(855) 563-2639 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kindbody Of Dc Medical Practice NPPES

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

KINDBODY OF DC MEDICAL PRACTICE (NPI 1306500665) is a healthcare organization registered as a reproductive endocrinology in Washington, District Of Columbia and active in the NPI registry since October 2021. The organization holds an CLIA Accreditation certificate valid through January 3, 2027 and lists Fahimeh Sasan, Founding Obgyn, as its authorized official.

NPPES Registry Identity

NPI1306500665
Entity TypeOrganization
Primary Taxonomy207VE0102X
Legal Business NamePEACH STATE MEDICAL PRACTICE, PC
Location Address1111 19TH ST NWWashington, DC 20036-3603
Mailing Address333 S Desplaines St Ste 201Chicago, IL 60661-5514 · (855) 563-2639
Phone(855) 563-2639
Organization SubpartNo
Authorized OfficialFahimeh SasanFounding Obgyn · (855) 563-2639
Enumeration DateOctober 23, 2021
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1306500665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
1111 19TH ST NW, Washington, DC 20036
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Other Names 1

Doing Business AsKindbody Of Dc Medical Practice

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 Accreditation 09D2240389

Peach State Medical Practice PC Dba Kindbody Of Dc · Washington, DC
Active · expires Jan 3, 2027
CLIA Number09D2240389
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorDr. Xiaohong Liu
Laboratory Phone(202) 301-3595
Laboratory LocationPeach State Medical Practice PC Dba Kindbody Of Dc1111 19th Street NW #104, Washington, DC 20036
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

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

DR. RODNEY D. SAVOIA D.D.S.
Dentist (General Practice)
1111 19TH ST NW, #205
WASHINGTON, DC 20036
District of Columbia (202) 466-5515
DR. A. PATRICK FLYNN D,M,D
Dentist (General Practice)
1111 19TH ST NW, SUITE 203
WASHINGTON, DC 20036
District of Columbia (202) 293-5443
POSTERITY MEN'S HEALTH, P.C.
Urology
1111 19TH ST NW
WASHINGTON, DC 20036
District of Columbia (888) 538-4185
TAMARA TOWNSEND WHNP
Nurse Practitioner (Women's Health)
1111 19TH ST NW
WASHINGTON, DC 20036
District of Columbia (855) 563-2639
MS. BRITTANY WEINER PA-C
Physician Assistant
1111 19TH ST NW
WASHINGTON, DC 20036
District of Columbia (202) 301-3595

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 Peach State Medical Practice, PC's NPI number?

The NPI number for Peach State Medical Practice, PC is 1306500665. It was assigned to this organization in the NPPES registry on October 23, 2021. The provider is doing business as Kindbody Of Dc Medical Practice.

Where is Peach State Medical Practice, PC located?

Peach State Medical Practice, PC is located at 1111 19th St NW, Washington, DC 20036. The listed phone number is (855) 563-2639.

What is Peach State Medical Practice, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Does Peach State Medical Practice, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 09D2240389) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peach State Medical Practice, PC was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.