DOUGLAS BOENNING MD
NPI 1447344601
Pediatrics - Pediatric Emergency Medicine in Washington, DC

Active since October 03, 2006PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 884-5433 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas Boenning Md NPPES

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

DOUGLAS BOENNING MD (NPI 1447344601) is an individual pediatric emergency medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD17496) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447344601
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDOUGLAS BOENNINGCredential: MD
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2978
Mailing Address111 Michigan Ave NwWashington, DC 20010-2978 · (202) 884-5433
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447344601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in DC · MD17496
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
111 MICHIGAN AVE NW, Washington, DC 20010

Other Identifiers 1

Medicare ID-Type Unspecified117919C95DC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Boenning 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.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Boenning reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

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 Douglas Boenning's NPI number?

The NPI number for Douglas Boenning is 1447344601. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Douglas Boenning located?

Douglas Boenning practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 884-5433.

What is Douglas Boenning's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Douglas Boenning enrolled in Medicare?

Yes. Douglas Boenning is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Boenning's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Boenning reassigns Medicare benefits to Children's Hospital (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Boenning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Boenning was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.