MICHAEL JON PISHVAIAN MD
NPI 1710171061
Internal Medicine - Medical Oncology in Washington, DC

Active since August 30, 2007PECOS Enrolled
74.39/100
CMS Quality Rating
5255 LOUGHBORO RD NW BLDG B, WASHINGTON, DC 20016(202) 660-6500(202) 660-6501 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2021, Feb 18, 2020, Jul 16, 2019 (3 updates tracked since 2019).

About Michael Jon Pishvaian Md NPPES

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

MICHAEL JON PISHVAIAN MD (NPI 1710171061) is an individual medical oncology provider in Washington, District Of Columbia, licensed in Maryland (D71401) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Georgetown University School Of Medicine (2001).

NPPES Registry Identity

NPI1710171061
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameMICHAEL JON PISHVAIANCredential: MD
Location Address5255 LOUGHBORO RD NW BLDG BWashington, DC 20016-2633
Mailing Address5255 Loughboro Rd NwWashington, DC 20016-2633 · (410) 955-5000
Fax(202) 660-6501
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2001
Enumeration DateAugust 30, 2007
Last NPPES UpdateAugust 23, 20213 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
NPI 1710171061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses Licensed in MD · D71401 Licensed in TX · S0972
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedSpecialistTaxonomy 174400000X · License MD035033 (DC)
5255 LOUGHBORO RD NW BLDG B, Washington, DC 20016

Other Identifiers 2

Other397339802TX · Cshcn Medicaid
Medicaid397339801TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Jon Pishvaian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729176524
PECOS Enrollment IDI20071112000589, I20200228002393
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
335 services125 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
228 services88 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
53 services53 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
31 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers91 claims6,826 services$0.57 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers11 claims11 services$12.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5255 LOUGHBORO RD NW BLDG B
WASHINGTON, DC 20016
Emergency Medicine
5255 LOUGHBORO RD NW BLDG B
WASHINGTON, DC 20016
Obstetrics & Gynecology
5255 LOUGHBORO RD NW BLDG B
WASHINGTON, DC 20016
Physician Assistant
5255 LOUGHBORO RD NW BLDG B
WASHINGTON, DC 20016
Emergency Medicine
5255 LOUGHBORO RD NW BLDG B
WASHINGTON, DC 20016
Internal Medicine (Hematology & Oncology)
5255 LOUGHBORO RD NW BLDG B
WASHINGTON, DC 20016
Physician Assistant
5255 LOUGHBORO RD NW BLDG B
WASHINGTON, DC 20016

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 Michael Pishvaian's NPI number?

The NPI number for Michael Pishvaian is 1710171061. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Michael Pishvaian located?

Michael Pishvaian practices at 5255 Loughboro Rd NW Bldg B, Washington, DC 20016. The listed phone number is (202) 660-6500.

What is Michael Pishvaian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Michael Pishvaian enrolled in Medicare?

Yes. Michael Pishvaian is registered in the Medicare PECOS enrollment system.

Is Michael Pishvaian affiliated with any hospitals?

According to CMS data, Michael Pishvaian is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Michael Pishvaian was last updated on August 23, 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.