Allen Nicole Casanova Alana – Pediatrics Physician

Key facts

NPI: 1043553589
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 53995 (TN)
Practice address: 49 N Dunlap St
Memphis, TN 38103-2802
Phone: (901) 287-5961
NPI assigned: Apr 3, 2013
Sex: Male
Sole proprietor: No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Children'S Hospital Children's Hospital · Washington, DC · NPI 1912939703

Medicare reassignment NPD DC
Children'S Hospital Community/Retail Pharmacy · Silver Spring, MD · NPI 1326878349

NPD
Children'S Hospital Pediatrics Physician · Washington, DC · NPI 1780800128

NPD PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment: Enrolled in DC
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20211119000022	DC	Practitioner - Pediatric Medicine	6406094838	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Children'S Hospital		Current since Oct 13, 2021	Accepting new patients
Children'S Hospital	Pediatrics	Current since Oct 13, 2021	Accepting new patients
Children'S Hospital		Current	Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	53995	TN	Yes

Addresses

Primary practice location

49 N Dunlap St
Memphis, TN 38103-2802

Mailing address

326 Island Dr
Apt 204
Memphis, TN 38103-0702
Phone (865) 599-8828

Other providers in Memphis, TN

All providers in Memphis, TN · Pediatrics Physician in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.