Andre Horan Hall, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D0101635 Issued in MD

Practice address

555 Quince Orchard Rd Ste 410
Gaithersburg, MD 20878-1479

Phone

(301) 414-2300

NPI assigned

Mar 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Morehouse School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians

Simmonds Martin and Helmbrecht LLCGroup PAC ID 7012985492, 23 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andre.hall.1@17360.direct.athenahealth.com

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.

• Maryland Physicians Edge LLC

  • Obstetrics & Gynecology Physician
  • Silver Spring, MD
  • NPI 1972922920

  DC

  Medicare reassignment Care Compare group NPD
• Simmonds, Martin & Helmbrecht, LLC

  • Obstetrics & Gynecology Physician
  • Damascus, MD
  • NPI 1558411934

  DC

  Medicare reassignment Care Compare group NPD
• Maryland Physicians Edge LLC

  • Clinical Medical Laboratory
  • Beltsville, MD
  • NPI 1700572518
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1144858689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26005 RIDGE RD STE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721899",
            "telephone_number": "301-414-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 QUINCE ORCHARD RD STE 410",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781479",
            "telephone_number": "301-414-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26005 Ridge Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Damascus",
            "state": "MD",
            "postal_code": "208721899",
            "country_code": "US",
            "telephone_number": "301-414-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11921 Rockville Pike Ste 400",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208522757",
            "country_code": "US",
            "telephone_number": "301-414-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Thomas Johnson Dr Ste H&j",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024893",
            "country_code": "US",
            "telephone_number": "301-414-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "ANDRE",
        "middle_name": "HORAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0101635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hagerstown Recovery LLC
• Matty Page Haight
• Robyn S Haim, LMSW
• Sheherazade A Hakimzadeh, RBT
• Mikayla Haley
• Connor Patrick Hall
• Joy Estelle Hall, RDH
• Monique Hall
• Hannah Hallam, M.A. CCC-SLP
• Kimberly Halls

• Obstetrics & Gynecology Physician in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.