Active NPI
Tabitha E Andre
- Obstetrics & Gynecology Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101245690
- Practice address
- 4660 Kenmore Ave
Suite 902
Alexandria, VA 22304-1313 - Phone
- (703) 307-4300
- NPI assigned
- Jul 27, 2007
- Last updated
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101245690 | VA | Primary |
Addresses
Primary practice location
4660 Kenmore Ave
Suite 902
Alexandria, VA 22304-1313
Mailing address
6600 Comet Cir
Apt #101
Springfield, VA 22150-4533
Phone (305) 761-2889
Other names 1
- Tabitha E Andre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12508 Lake Ridge Dr
Woodbridge, VA 22192-2354
Phone (703) 370-4300
2616 Sherwood Hall LN
Suite 208
Alexandria, VA 22306-3154
Phone (703) 780-6900
4660 Kenmore Ave
Suite 902
Alexandria, VA 22304-1306
Phone (703) 370-4300
5901 Kingstowne Village Pkwy
Suite 200
Alexandria, VA 22315-5882
Phone (703) 922-3434
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.06 of 100
- Quality
- 82.04
- Improvement activities
- 40
- Cost
- 70.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101245690 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Physician and Midwife Collaborative Practice | Obstetrics & Gynecology | Current | Accepting new patients |
| The Physician and Midwife Collaborative Practice | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
2616 Sherwood Hall Ln
Ste 208
Alexandria, VA 22306
Phone (703) 780-6900
4660 Kenmore Ave
Ste 902
Alexandria, VA 22304
Phone (703) 370-4300
5901 Kingstowne Village Pkwy
Ste 200
Alexandria, VA 22315
Phone (703) 370-4300
3803 Fairfax Dr
Ste 500
Arlington, VA 22203
Phone (703) 370-4300
12508 Lake Ridge Dr
Woodbridge, VA 22192
Phone (703) 370-4300
Interoperability endpoints
- tabitha.andre.1@7917.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics Physician
- Alexandria, VA
- NPI 1831310820
DC, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Silver Spring, MD
- NPI 1972922920
DC, VA
-
- Obstetrics & Gynecology Physician
- Alexandria, VA
- NPI 1083899488
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1164612917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 COMET CIR",
"address_2": "APT #101",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221504533",
"telephone_number": "305-761-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "SUITE 902",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-307-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRE",
"first_name": "TABITHA",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101245690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TABITHA",
"last_name": "ANDRE",
"middle_name": "E",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.