Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Momodu A Jack, M.D.

Gastroenterology Physician in Washington, DC · enumerated 2006 · practices at Howard University.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164521019

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Momodu A Jack

Credential M.D.

Sex Male

Practice address Washington, DC, 20001

Phone (202) 865-7981

Fax (301) 621-5313

Enumeration date Sep 21, 2006

Last updated in NPPES Nov 6, 2020

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License D0044035 (MD) Secondary

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License 0101270422 (VA) Secondary

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License MD20286 (DC) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
0101267872	Other	VA	LICENSE
174961700	Medicaid	MD	-
018868500	Medicaid	DC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1164521019 active?

Yes, as of the latest NPPES snapshot, NPI 1164521019 is active (record last updated 2020-11-06).

How do I verify Momodu Jack's NPI record?

Cross-check NPI 1164521019 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-06.