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BENNING ROAD PRIMARY CARE AND PYSICIAN WIEGHT LOSS PC
NPI 1427388545
Internal Medicine in Washington, DC

Active since January 12, 2010CLIA 09D0972341 · Waiver
1647 BENNING RD NE, SUITE 304, WASHINGTON, DC 20002(202) 397-2200(202) 397-2688 Get Directions Write a Review

NPPES record last updated: January 12, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Benning Road Primary Care And Pysician Wieght Loss Pc NPPES

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

BENNING ROAD PRIMARY CARE AND PYSICIAN WIEGHT LOSS PC (NPI 1427388545) is a healthcare organization registered as an internal medicine in Washington, District Of Columbia and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Ismail Mustapha Kalokoh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427388545
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBENNING ROAD PRIMARY CARE AND PYSICIAN WIEGHT LOSS PC
Location Address1647 BENNING RD NE, SUITE 304Washington, DC 20002-4569
Mailing Address1647 Benning Rd Ne, Suite 304Washington, DC 20002-4569 · (202) 397-2200 · Fax (202) 397-2688
Phone(202) 397-2200
Fax(202) 397-2688
Organization SubpartNo
Authorized OfficialIsmail Mustapha KalokohCeo · (202) 397-2200
Enumeration DateJanuary 12, 2010
✔ NPI 1427388545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DC · MD21581✔ Licensed in MD · D0047927
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.
1647 BENNING RD NE, Washington, DC 20002
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Other Identifiers 3

Medicaid024304300MD
Medicare UPING74179MD
Medicaid017134100DC

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 09D0972341

Benning Road Primary Care · Washington, DC
Active · expires Feb 13, 2027
CLIA Number09D0972341
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorIsmail M. Kalokoh
Laboratory Phone(202) 397-2200
Laboratory LocationBenning Road Primary Care1647 Benning Road, NE # 304, Washington, DC 20002
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.

RICHARD LARRY DOTSON MD
General Practice
1647 BENNING RD NE, #102
WASHINGTON, DC 20002
District of Columbia (202) 396-8200
DR. NORMAN W ALLEN MD
Internal Medicine (Cardiovascular Disease)
1647 BENNING RD NE, STE 201
WASHINGTON, DC 20002
District of Columbia (202) 399-5707
AIDS HEALTHCARE FOUNDATION
Clinic/Center
1647 BENNING RD NE
WASHINGTON, DC 20002
District of Columbia (323) 498-6665
FAVOUR OYENUGA
Registered Nurse
1647 BENNING RD NE
WASHINGTON, DC 20002
District of Columbia (202) 621-8713
OLUWADAMILOLA KOMOLAFE
Case Manager/Care Coordinator
1647 BENNING RD NE
WASHINGTON, DC 20002
District of Columbia (202) 375-1532
JAGDEV SINGH DHILION M.D.
Neuromusculoskeletal Medicine, Sports Medicine
1647 BENNING RD NE, SUITE #202
WASHINGTON, DC 20002
District of Columbia (202) 398-2897
KEESHA MARIE WILLIAMS-ELLIOTT M.D.
Ophthalmology
1647 BENNING RD NE, SUITE 102
WASHINGTON, DC 20002
District of Columbia (202) 396-8200
CHIMELIE UKWANDU
Case Manager/Care Coordinator
1647 BENNING RD NE
WASHINGTON, DC 20002
District of Columbia (202) 621-8713

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 Benning Road Primary Care And Pysician Wieght Loss PC's NPI number?

The NPI number for Benning Road Primary Care And Pysician Wieght Loss PC is 1427388545. It was assigned to this organization in the NPPES registry on January 12, 2010.

Where is Benning Road Primary Care And Pysician Wieght Loss PC located?

Benning Road Primary Care And Pysician Wieght Loss PC is located at 1647 Benning Rd NE Suite 304, Washington, DC 20002. The listed phone number is (202) 397-2200.

What is Benning Road Primary Care And Pysician Wieght Loss PC's specialty?

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

Does Benning Road Primary Care And Pysician Wieght Loss PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 09D0972341) is associated with this NPI, valid through February 13, 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 Benning Road Primary Care And Pysician Wieght Loss PC was last updated on January 12, 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.