DR. JONATHAN POPHAM MD
NPI 1376289991
Pediatrics in Washington, DC

Active since May 06, 2022PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(888) 884-2327 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2025, May 22, 2022, May 6, 2022 (3 updates tracked since 2022).

About Dr. Jonathan Popham Md NPPES

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

DR. JONATHAN POPHAM MD (NPI 1376289991) is an individual pediatrics provider in Washington, District Of Columbia, licensed in District Of Columbia (MD600004083) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1376289991
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JONATHAN POPHAMCredential: MD
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Sole ProprietorNo
Enumeration DateMay 6, 2022
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
NPI 1376289991 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 · MD600004083
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.

111 MICHIGAN AVE NW, Washington, DC 20010

Secondary Practice Location 1

Location 120 York StNew Haven, CT 06510-3220 · Phone (203) 688-4242

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. Jonathan Popham 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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.

Physical Medicine & Rehabilitation
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Allergy/Immunology)
111 MICHIGAN AVE NW, 111 MICHIGAN AVENUE, NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Internal Medicine
111 MICHIGAN AVE NW, CHILDREN'S NATIONAL MEDICAL CENTER
WASHINGTON, DC 20010
Pediatrics (Pediatric Pulmonology)
111 MICHIGAN AVE NW, CHILDREN'S NATIONAL MEDICAL CENTER, SUITE 1030
WASHINGTON, DC 20010
Pediatrics (Pediatric Gastroenterology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376289991, enumerated as an "individual" on May 06, 2022.

The provider is located at 111 MICHIGAN AVE NW WASHINGTON, DC 20010 and the phone number is (888) 884-2327.

Pediatrics with taxonomy code 208000000X.