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ANTHONY JAMES VIDECKIS
NPI 1871292169
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since February 27, 2023PECOS Enrolled
3800 RESERVOIR RD NW, WASHINGTON, DC 20007(630) 675-1070 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony James Videckis NPPES

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

ANTHONY JAMES VIDECKIS (NPI 1871292169) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871292169
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTHONY JAMES VIDECKIS
Location Address3800 RESERVOIR RD NWWashington, DC 20007-2113
Mailing Address3661 Winfield Ln NwWashington, DC 20007-2350 · (630) 675-1070
Phone(630) 675-1070
Sole ProprietorYes
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 26, 2023
✔ NPI 1871292169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3800 RESERVOIR RD NW, Washington, DC 20007
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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)

Anthony James Videckis 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. KAUSTUBH SUBHASH YADWADKAR M.D.
Radiology (Diagnostic Radiology)
3800 RESERVOIR RD NW, CG201
WASHINGTON, DC 20007
District of Columbia (304) 206-7595
FRED MO MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-8766
SEBLE YIRGA
Nurse Practitioner (Family)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-7265
ARLETTE THOMPSON-PILE
Physical Therapy Assistant
3800 RESERVOIR RD NW, PHYSICAL MEDICINE AND REHBAILITATION DEPARTMENT
WASHINGTON, DC 20007
District of Columbia (202) 444-3689
JENNA ELIZABETH HOROWITZ
Physician Assistant (Surgical)
3800 RESERVOIR RD NW, NEUROSURGERY DEPARTMENT
WASHINGTON, DC 20007
District of Columbia (202) 444-2000
HALEY SWANSON FOSTER M.D.
Radiology (Vascular & Interventional Radiology)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-5022
SOPHIA RIZVI MD
Radiology (Radiation Oncology)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-2000
CLAIRE DALBY MD
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-7106

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 Anthony Videckis's NPI number?

The NPI number for Anthony Videckis is 1871292169. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Anthony Videckis located?

Anthony Videckis practices at 3800 Reservoir Rd NW, Washington, DC 20007. The listed phone number is (630) 675-1070.

What is Anthony Videckis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anthony Videckis enrolled in Medicare?

Yes. Anthony Videckis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Videckis was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.