NPI registry status
Active
2026 NPPES data Dentist NPI 1225584535 DMD
Verify on CMS → Joana Halilaj, DMD
Dentist in Washington, District of Columbia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 95,573 in Dentist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
156
Medicare Part D claims · 121 beneficiaries · Dentist avg: 90
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Joana Halilaj, DMD filed 156 Medicare Part D claims in 2024 as a Dentist in Washington, District of Columbia.
- 156
- Part D claims, 2024
- ≥34th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Joana Halilaj, DMD
Bare NPI registry listing — limited federal enrichment beyond basic enumeration. Verify all credentials with official sources.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1225584535), first enumerated 08/28/2016.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 156 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1225584535 · Dentist
NPI-10 · ENUM-MID · TAX-MEGA · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1225584535
- ENUM-MID 2016
- TAX-MEGA 96K Dentist
- RX-LIGHT 156
- BOOK-THIN 350 in District of Columbia
- PHOTO-ENUM Gregorio Joseph Cris… · 2016
Joana Halilaj, DMD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
156 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Joana Halilaj, DMD?
Quality data not reportedPrimary specialty
Dentist
Medicare Part D claims
156 73% vs specialty avg
Specialty distribution in District of Columbia
How Dentist compares to other specialties among District of Columbia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Dentist. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1225584535 |
|---|---|
| Specialty | Dentist |
| Credentials | DMD |
| Gender | Female |
| NPI Issued | 08/28/2016 |
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
156
Total Claims
$895
Total Drug Cost
121
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 161.867
- Total Day Supply
- 1,720
- Brand Drug Cost
- $0
- Generic Drug Cost
- $582
- Antibiotic Claims
- 123
Patient Demographics
- Average Patient Age
- 77.6 years
- Avg HCC Risk Score
- 1.50
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 0, 65-74: 39, 75-84: 69, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Amoxicillin | 100 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Dentist Overview
How Joana Halilaj, DMD fits within the Dentist landscape nationally.
95,573
Dentist Providers in US
56
States with Dentist
90
Avg Claims per Provider
Joana Halilaj, DMD's 156 claims are above the specialty average of 90.
Nationwide Dentist peers with similar MIPS or enrollment year
Two federal-record peer sets for Halilaj, both outside District of Columbia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2016)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Dentist Providers in District of Columbia
Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as Halilaj.
One of 350 Dentist providers enrolled in District of Columbia, 5 are shown here.
Dr. Tegest Abebe
DMD
Washington, DC
Teny Abrahamian
Washington, DC
Onaedo Achebe
Washington, DC
Dr. Adeola Adebayo
DDS
Washington, DC
Dr. Al-Yaman Ahmad
DDS
Washington, DC
Compare Dentist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Joana Halilaj, DMD's specialty? ▼
Joana Halilaj, DMD specializes in Dentist and practices in Washington, District of Columbia. Credentials: DMD.
How much does Joana Halilaj, DMD prescribe under Medicare Part D? ▼
In 2024, Joana Halilaj, DMD wrote 156 Medicare Part D claims totaling $895 in drug costs for 121 beneficiaries.
Where is Joana Halilaj, DMD located? ▼
Joana Halilaj, DMD is located at 1160 1ST ST NE, Washington, DC, 20002. Phone: (904) 487-9241.
What is Joana Halilaj, DMD's NPI number? ▼
Joana Halilaj, DMD's National Provider Identifier (NPI) is 1225584535, issued on 08/28/2016.
How many Dentist providers are there in the US? ▼
There are 95,573 Dentist providers across 56 states in the US. The average Dentist provider writes 90 Medicare Part D claims per year.
What drugs does Joana Halilaj, DMD prescribe most often? ▼
Based on 2024 Medicare Part D data, Joana Halilaj, DMD's most frequently prescribed drugs include Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joana Halilaj, DMD accept Medicare? ▼
Joana Halilaj, DMD appears in CMS Medicare data with 156 Part D claims and 121 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joana Halilaj, DMD's credentials? ▼
Joana Halilaj, DMD's NPI is 1225584535 with credentials DMD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.