Active NPI
Andrea Neolus Bailey, MD
- Pediatrics Physician
- Washington, DC
National Provider Identifier
1184897761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD33452
- Practice address
- 1310 Southern Ave SE
Great Southeast Community Hospital
Washington, DC 20032 - Phone
- (202) 574-6000
- NPI assigned
- Apr 4, 2008
- Last updated
- Apr 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD33452 | DC | Primary |
| Pediatrics Physician | 208000000X | R0044694 | MD | |
| Pediatrics Physician | 208000000X | G84272 | CA |
Addresses
Primary practice location
1310 Southern Ave SE
Great Southeast Community Hospital
Washington, DC 20032
Mailing address
5425 14TH St NW
Childrens Medical Care Center
Washington, DC 20011
Phone (202) 829-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G84272 | CA | MD | Pediatrics Physician |
| MD33452 | DC | MD | Pediatrics Physician |
| R0044694 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1184897761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 14TH ST NW",
"address_2": "CHILDRENS MEDICAL CARE CENTER",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20011",
"telephone_number": "202-829-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 SOUTHERN AVE SE",
"address_2": "GREAT SOUTHEAST COMMUNITY HOSPITAL",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20032",
"telephone_number": "202-574-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ANDREA",
"middle_name": "NEOLUS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-04",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD33452",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "R0044694",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G84272",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.