Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Momodu A Jack, MD

Individual provider Gastroenterology Physician · NPI 1164521019

Momodu A Jack, MD is a Gastroenterology in Washington, District of Columbia. Qualified in 1985, 41 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia, Maryland and Virginia.

Years since qualifying
41
Licensed in
DC, MD, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2139 Georgia Ave NW Ste 3A
Washington, DC 20001-3035
Phone: (202) 865-7981
Fax: (301) 621-5313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 541 Sunset Ln Ste 301, Culpeper, VA 22701-3979 — (540) 825-4557

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD20286 (DC)
Gastroenterology Physician Taxonomy 207RG0100X · Licence D0044035 (MD)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 0101270422 (VA)

Record details

NPI number1164521019
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 21, 2006
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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