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MARY ELLEN V REVENIS MD
NPI 1477630820
Pediatrics - Neonatal-Perinatal Medicine in Washington, DC

Active since November 01, 2006
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 884-5448 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Ellen V Revenis Md NPPES

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

MARY ELLEN V REVENIS MD (NPI 1477630820) is an individual neonatal-perinatal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (E69361) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1477630820
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameMARY ELLEN V REVENISCredential: MD
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2978
Mailing Address111 Michigan Ave NwWashington, DC 20010-2978 · (202) 884-5448
Phone(202) 884-5448
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1477630820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in DC · E69361
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
111 MICHIGAN AVE NW, Washington, DC 20010
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Other Identifiers 1

Medicare UPINE69361

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.

DR. ANDREA BADILLO MD
Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-2451
DR. TALITA MICHELLE JORDAN MD
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
YUE-HIN LOKE MD
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
ELSHADEY YAYEHYERADE BEKELE
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (301) 565-4279
NOURA AL DHAHERI MD
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
JIA LIU MD
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
DR. CHARLES JOHN BILLINGTON JR. MD
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
GINA JIN LEE PHARMD
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-4080

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 Mary Ellen Revenis's NPI number?

The NPI number for Mary Ellen Revenis is 1477630820. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Mary Ellen Revenis located?

Mary Ellen Revenis practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 884-5448.

What is Mary Ellen Revenis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Mary Ellen Revenis 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.