DAVID O WASHINGTON (MD) – Internal Medicine Physician, NPI 1104953439

DAVID O WASHINGTON (MD) is a healthcare provider. based in Detroit, Michigan. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301062062 (MI). The NPI Number for DAVID O WASHINGTON (MD) is 1104953439

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DAVID O WASHINGTON (MD)
NPI
1104953439
Phone
(313) 966-3300
Address
PO BOX 673671
Enumeration Date
27 February 2007
Last Update Date
1 April 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2483952206
Graduation Year
1997 (29 years ago)
PAC ID
7214996263
Group Practice PAC ID
8224124805
Professional Enrollment ID
I20041006000646
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DAVID O WASHINGTON (MD)

  • PO BOX 673671

    DETROIT, MI 482673671

    Phone: (313) 966-3300

    Fax: (313) 966-1229

    Type: Mailing

  • 6071 W OUTER DR

    DETROIT, MI 482352624

    Phone: (313) 966-3300

    Fax: (313) 966-1229

    Type: Location

  • 106 NW 9TH AVE

    MULBERRY, FL 338602922

    Phone: (866) 234-8534

    Type: Location

  • 47 5TH ST NW

    WINTER HAVEN, FL 338814672

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $260.

Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Exact Sciences Corporation ($150).

Total Amount

$260

General + Research + Ownership

Payments

12

Total payment records

General Amount

$260

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220405001281IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48267)

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Provider's Procedures

DAVID O WASHINGTON (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMI90935Hemodialysis procedure with one physician evaluation48079

Reviews

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Frequently asked questions

How do I look up DAVID O WASHINGTON (MD) by NPI?
Use NPI 1104953439 when you need to reference DAVID O WASHINGTON (MD) in forms, claims, or directories.
Is DAVID O WASHINGTON (MD) active in the national directory?
DAVID O WASHINGTON (MD)'s public NPI profile is in an active state.
What kind of provider is DAVID O WASHINGTON (MD)?
The page reflects Internal Medicine Physician for DAVID O WASHINGTON (MD). Clinical services aligned with this taxonomy classification.
Where is DAVID O WASHINGTON (MD)'s primary listing?
We display Detroit, Michigan because that is what the record indicates for DAVID O WASHINGTON (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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