Individual provider Active NPI

Dana Marie Blyth, M.D.

  • Infectious Disease Physician
  • Bethesda, MD
National Provider Identifier
1114154879
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0101248962 Issued in VA
Practice address
Wrnmmc 8960 Brown Dr
Bethesda, MD 20889-6200
Phone
(301) 295-6400
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101248962 VA
Infectious Disease Physician 207RI0200X 0101248962 VA Primary

Addresses

Primary practice location

Wrnmmc 8960 Brown Dr
Bethesda, MD 20889-6200

Mailing address

Wrnmmc 8960 Brown Dr
Bethesda, MD 20889-6200
Phone (301) 295-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20121022000741 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1850541129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101248962VAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1114154879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WRNMMC 8960 BROWN DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208896200",
            "telephone_number": "301-295-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WRNMMC 8960 BROWN DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208896200",
            "telephone_number": "301-295-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTH",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101248962",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101248962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.