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DESTINY L MACK
NPI 1629677398
Physician Assistant - Medical in Washington, DC

Active since October 22, 2020PECOS Enrolled
900 23RD ST NW, WASHINGTON, DC 20037(202) 715-4000(202) 715-4015 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2021, Oct 22, 2020 (2 updates tracked since 2020).

About Destiny L Mack NPPES

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

DESTINY L MACK (NPI 1629677398) is an individual medical provider in Washington, District Of Columbia and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629677398
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDESTINY L MACK
Location Address900 23RD ST NWWashington, DC 20037-2342
Mailing Address2309 Shorefield Rd Apt 122Silver Spring, MD 20902-1853 · (240) 425-3791
Phone(202) 715-4000
Fax(202) 715-4015
Sole ProprietorNo
Enumeration DateOctober 22, 2020
Last NPPES UpdateOctober 5, 20212 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1629677398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
900 23RD ST NW, Washington, DC 20037
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destiny L Mack 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.

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. MUSTAFA BASSAM HAMMUDI MD
Internal Medicine
900 23RD ST NW
WASHINGTON, DC 20037
District of Columbia (202) 715-5109
DR. WILLIAM ANDREW HIATT MD
Student in an Organized Health Care Education/Training Program
900 23RD ST NW
WASHINGTON, DC 20037
District of Columbia (202) 741-3000
DR. SHANE ZAMANI MD
Anesthesiology
900 23RD ST NW
WASHINGTON, DC 20037
District of Columbia (202) 715-4750
MRS. KATHERINE CAROLINE FOX PA-C, MPH
Physician Assistant (Surgical)
900 23RD ST NW
WASHINGTON, DC 20037
District of Columbia (202) 715-5000
MICHAEL WILLIAM HELBIG MD
Student in an Organized Health Care Education/Training Program
900 23RD ST NW
WASHINGTON, DC 20037
District of Columbia (202) 741-3100
DR. AYAL ZEV PIERCE MD
Emergency Medicine
900 23RD ST NW
WASHINGTON, DC 20037
District of Columbia (202) 715-4000
CALLIE BEEGLE PA-C
Physician Assistant
900 23RD ST NW
WASHINGTON, DC 20037
District of Columbia (202) 715-4000
MEGAN KATHLEEN DAILEY PA-C
Physician Assistant
900 23RD ST NW
WASHINGTON, DC 20037
District of Columbia (202) 741-2210

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 Destiny Mack's NPI number?

The NPI number for Destiny Mack is 1629677398. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Where is Destiny Mack located?

Destiny Mack practices at 900 23rd St NW, Washington, DC 20037. The listed phone number is (202) 715-4000.

What is Destiny Mack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Destiny Mack enrolled in Medicare?

Yes. Destiny Mack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Destiny Mack was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.