Individual provider Active NPI

Andrew Thomas Nadell, M.D.

  • Psychiatry Physician
  • Burlingame, CA
National Provider Identifier
1114129533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A29449 Issued in CA
Practice address
1828 El Camino Real
Suite 509
Burlingame, CA 94010-3103
Phone
(650) 697-6975
Fax
(415) 776-6669
NPI assigned
Jun 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A29449 CA Primary

Addresses

Primary practice location

1828 El Camino Real
Suite 509
Burlingame, CA 94010-3103

Mailing address

1828 El Camino Real
Suite 509
Burlingame, CA 94010-3103
Phone (650) 697-6975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050722000777 CA Practitioner - Psychiatry 2264469030 Practice locations: Burlingame, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Duke University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1828 El Camino Real
Suite 509
Burlingame, CA 94010-3118
Phone (650) 697-6975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114129533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 EL CAMINO REAL",
            "address_2": "SUITE 509",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103103",
            "telephone_number": "650-697-6975",
            "fax_number": "415-776-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 EL CAMINO REAL",
            "address_2": "SUITE 509",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103103",
            "telephone_number": "650-697-6975",
            "fax_number": "415-776-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADELL",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A29449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.