Individual provider Active NPI

Ayana C McIntosh, M.D.

  • Pain Medicine Physician
  • Chevy Chase, MD
National Provider Identifier
1255502035
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
D74972 Issued in MD
Practice address
5530 Wisconsin Ave
Suite 1550
Chevy Chase, MD 20815-4404
Phone
(301) 220-1333
Fax
(301) 220-1533
NPI assigned
Mar 19, 2008
Last updated
Feb 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D74972 MD
Pain Medicine Physician 208VP0000X D74972 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave
Suite 1550
Chevy Chase, MD 20815-4404

Mailing address

13909 Glenlivet GRV
Laurel, MD 20707-6912
Phone (917) 796-9584

Other identifiers 1

IdentifierTypeStateIssuer
255933YDE9OtherMDMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20150807013227 MD Practitioner - Pain ManagementPractitioner - Anesthesiology 9234389081 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D74972MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Pain Management LLC CurrentSince Jun 15, 2015 Accepting new patients
Global Pain Management CurrentSince Jun 15, 2015 Accepting new patients
University of Maryland Medical Center Past Accepting new patients

Locations

8031 Ritchie Hwy
Ste 202
Pasadena, MD 21122
Phone (443) 821-4050

8055 Ritchie Hwy
Ste 101
Pasadena, MD 21122
Phone (443) 825-4050

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1255502035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13909 GLENLIVET GRV",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076912",
            "telephone_number": "917-796-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE 1550",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-220-1333",
            "fax_number": "301-220-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "AYANA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D74972",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "D74972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "255933YDE9",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.