Organization Active NPI

Daydream Sunshine Initiative

  • Infectious Disease Physician
  • Bowie, MD
National Provider Identifier
1205435328
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
DAYDREAM SUNSHINE INITIATIVE
Practice address
4000 Mitchellville Rd Ste A406
Bowie, MD 20716-3139
Phone
(301) 262-0400
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Jennifer Hernandez
Title
Billing Specialist
Phone
(980) 989-9487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

4000 Mitchellville Rd Ste A406
Bowie, MD 20716-3139

Mailing address

4000 Mitchellville Rd Ste A404
Bowie, MD 20716-3137
Phone (301) 262-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220217002191 DC Part B Supplier - Clinic/Group Practice 9638562523 Receives reassigned benefits from 2 practitioners
Practice locations: Bowie, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2223882Daydream Sunshine Initiative4000 Mitchellville Rd #A406, Bowie, MD 20716Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory

Locations

4000 Mitchellville Rd
Ste A406
Bowie, MD 20716
Phone (301) 262-0400

4000 Mitchellville Rd
Ste A6
Bowie, MD 20716

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1205435328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A404",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163137",
            "telephone_number": "301-262-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A406",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163139",
            "telephone_number": "301-262-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYDREAM SUNSHINE INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "980-989-9487"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.