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PHS ANESTHESIA
NPI 1740795293
Anesthesiology in Washington, DC

Active since December 06, 2017
1150 VARNUM ST NE, WASHINGTON, DC 20017(202) 854-4041(202) 854-4034 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phs Anesthesia NPPES

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

PHS ANESTHESIA (NPI 1740795293) is a healthcare organization registered as an anesthesiology in Washington, District Of Columbia and active in the NPI registry since December 2017. The organization lists Beau Higginbothan, Vice President/coo, as its authorized official.

NPPES Registry Identity

NPI1740795293
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NamePROVIDENCE HEALTH SERVICES, INC
Location Address1150 VARNUM ST NEWashington, DC 20017-2104
Mailing Address1150 Varnum St Ne, St Catherines Hall, Room 10220017, DC 20017-2104 · (202) 854-4069 · Fax (202) 854-7825
Phone(202) 854-4041
Fax(202) 854-4034
Organization SubpartYesParent: Providence Hospital
Authorized OfficialBeau HigginbothanVice President/coo · (410) 368-3182
Enumeration DateDecember 6, 2017
✔ NPI 1740795293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in DC · HFD01-0212
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License HFD01-0212 (DC)
Also ListedAnesthesiologist AssistantTaxonomy 367H00000X · License HFD01-0212 (DC)
1150 VARNUM ST NE, Washington, DC 20017
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Other Names 1

Doing Business AsPhs Anesthesia

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phs Anesthesia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Phs Anesthesia, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 17 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Internal Medicine7
Nurse Practitioner4
Family Practice3
Psychiatry2
Clinical Social Worker1
Geriatric Medicine1

Clinicians, nearest first (18)

Asim Haracic, MD
Psychiatry
NPI 1821025834
1150 VARNUM ST NE
Washington, DC 20017
(202) 269-7626
✔ PECOS✔ Accepts MedicareSame address
Rafic Jarrah, MD
Internal Medicine
NPI 1073523759
1150 VARNUM ST NE
Washington, DC 20017
(202) 269-7001
✔ PECOS✔ Accepts MedicareSame address
Mir Javid, MD
Internal Medicine
NPI 1992004030
1150 VARNUM ST NE
Washington, DC 20017
(202) 682-3840
✔ PECOS✔ Accepts MedicareSame address
Shiban Raina, MD
Internal Medicine
NPI 1861422669
1150 VARNUM ST NE
Washington, DC 20017
(202) 269-7000
✔ PECOS✔ Accepts MedicareSame address
Shadi Soufi, M.D.
Internal Medicine
NPI 1326250705
1150 VARNUM ST NE
Washington, DC 20017
(202) 269-7000
✔ PECOS✔ Accepts MedicareSame address
Marcy Oppenheimer, M.D.
Family Practice
NPI 1023243581
1150 VARNUM ST NE ST. CATHERINE'S HALL/1ST FL/RM 102
Washington, DC 20017
(202) 854-4812
✔ PECOS✔ Accepts Medicare0.1 mi
Melissa Fagonde, MD
Family Practice
NPI 1164715926
1160 VARNUM STREET , NE DEPAUL 110
Washington, DC 20017
(202) 448-4090
✔ PECOS✔ Accepts Medicare0.1 mi
Victoria Fedorova, M.D.
Geriatric Medicine
NPI 1306100185
1160 VARNUM ST NE DEPAUL 021
Washington, DC 20017
(202) 854-7785
✔ PECOS✔ Accepts Medicare0.1 mi
Jacquelyn Horton, LICSW
Clinical Social Worker
NPI 1295080240
1160 VARNUM ST NE STE 110
Washington, DC 20017
(202) 854-4090
✔ PECOS✔ Accepts Medicare0.1 mi
Ajirioghene Igbide, M.D
Psychiatry
NPI 1659610871
1160 VARNUM ST NE STE 317
Washington, DC 20017
(202) 469-4699
✔ PECOS✔ Accepts Medicare0.1 mi
David King, M.D.
Internal Medicine
NPI 1992746127
1160 VARNUM ST NE
Washington, DC 20017
(202) 854-4900
✔ PECOS✔ Accepts Medicare0.1 mi
Ines Natividad, MD
Internal Medicine
NPI 1548557747
1160 VARNUM ST NE
Washington, DC 20017
(202) 854-4242
✔ PECOS✔ Accepts Medicare0.1 mi
Daniel Omire-Mayor, D.O., M.S., M.B.A.
Family Practice
NPI 1831504505
1160 VARNUM ST NE
Washington, DC 20017
(202) 854-4812
✔ PECOS✔ Accepts Medicare0.1 mi
Fatmata Ware
Nurse Practitioner
NPI 1285121954
1160 VARNUM ST NE
Washington, DC 20017
(202) 854-7000
✔ PECOS✔ Accepts Medicare0.1 mi
Theresa Brady Novak, FNP-BC
Nurse Practitioner
NPI 1194982249
CATHOLIC UNIVERSITY STUDENT 620 MICHIGAN AVE
Washington, DC 20064
(202) 319-5744
✔ PECOS0.8 mi
Constance Oppong, NP
Nurse Practitioner
NPI 1518743251
128 M ST NW
Washington, DC 20001
(202) 854-3840
✔ PECOS✔ Accepts Medicare2.6 mi
Cecillia Tsao, MD
Internal Medicine
NPI 1821101767
128 M ST NW
Washington, DC 20001
(202) 854-3840
✔ PECOS✔ Accepts Medicare2.6 mi
Josephine Nwachukwu, GNP-BC
Nurse Practitioner
NPI 1073860466
8601 VETERANS HWY SUITE 211
Millersville, MD 21108
(410) 553-8092
✔ PECOS✔ Accepts Medicare22 mi

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

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 Providence Health Services, Inc's NPI number?

The NPI number for Providence Health Services, Inc is 1740795293. It was assigned to this organization in the NPPES registry on December 6, 2017. The provider is doing business as Phs Anesthesia.

Where is Providence Health Services, Inc located?

Providence Health Services, Inc is located at 1150 Varnum St NE, Washington, DC 20017. The listed phone number is (202) 854-4041.

What is Providence Health Services, Inc's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Providence Health Services, Inc enrolled in Medicare?

Yes. Providence Health Services, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 6 Medicare specialties reassign their Medicare billing to Providence Health Services, Inc. A 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 the clinician's services. The largest specialties are Internal Medicine (7), Nurse Practitioner (4) and Family Practice (3). Of these, 5 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Health Services, Inc was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.