DR. JEFFREY S DOME MD
NPI 1902809197
Pediatrics - Pediatric Hematology-Oncology in Washington, DC

Active since May 23, 2005PECOS Enrolled
111 MICHIGAN AVE NW, CHILDREN'S NATIONAL MEDICAL CENTER, WASHINGTON, DC 20010(202) 476-2800(202) 476-5685 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jeffrey S Dome Md NPPES

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

DR. JEFFREY S DOME MD (NPI 1902809197) is an individual pediatric hematology-oncology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD036384) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902809197
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. JEFFREY S DOMECredential: MD
Location Address111 MICHIGAN AVE NW, CHILDREN'S NATIONAL MEDICAL CENTERWashington, DC 20010-2916
Mailing AddressPo Box 37215Baltimore, MD 21297-3215
Fax(202) 476-5685
Sole ProprietorNo
Enumeration DateMay 23, 2005
Last NPPES UpdateOctober 29, 2012
✔ NPI 1902809197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in DC · MD036384
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
111 MICHIGAN AVE NW, Washington, DC 20010

Other Identifiers 19

Medicaid0527630IA
Medicaid1548669LA
OtherF94483TN · Upin
Medicaid010017688VA
Medicaid2045058OH
Medicaid205027006MO
Medicaid7612398NC
Medicaid00119084MS
Medicare ID-Type Unspecified3821464TN · Medicare
Medicaid009912830AL
Medicaid104788409MI
Medicaid1135554 00WY
Medicaid804006AZ
Medicaid060474601TX
Medicaid133502001AR
Medicaid422400000ME
Medicaid64928674KY
Medicaid0030431NJ
Medicaid3821464TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey S Dome Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Dome reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group

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

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.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

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 Jeffrey Dome's NPI number?

The NPI number for Jeffrey Dome is 1902809197. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Jeffrey Dome located?

Jeffrey Dome practices at 111 Michigan Ave NW Children's National Medical Center, Washington, DC 20010. The listed phone number is (202) 476-2800.

What is Jeffrey Dome's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Jeffrey Dome enrolled in Medicare?

Yes. Jeffrey Dome is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Dome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Dome reassigns Medicare benefits to Children's Hospital (Washington, DC). The 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 Jeffrey Dome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Dome accept?

Health plans from WellSense Health Plan list Jeffrey Dome as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Dome was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.