MEDICARE: DR. ANITHA SARA JOHN MD PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0002X	Adult Congenital Heart Disease Physician	MD039052	DC
2	208000000X	Pediatrics Physician	224653	MA
3	207R00000X	Internal Medicine Physician	224653	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	468283	OTHER	MA	TUFTS HEALTH PLAN
5	J28791	OTHER	MA	BCBS MA

General Provider Information

NPI Number	:	1457319006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANITHA SARA JOHN MD PHD

Provider Business Mailing Address
First Line	:	111 MICHIGAN AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2916
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 MICHIGAN AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2916
Country	:	US
Telephone Number	:	301-572-1320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	06/02/2026

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Directions to “ DR. ANITHA SARA JOHN MD PHD” Practice Location

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