Active NPI
Paul Andrew Tibbits, M.D.
- Internal Medicine Physician
- Washington, DC
National Provider Identifier
1306185756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11578
- Practice address
- 801 I Street NW
Room 1225
Washington, DC 22041 - Phone
- (202) 461-4419
- NPI assigned
- Feb 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11578 | LA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 11578 | LA |
Addresses
Primary practice location
801 I Street NW
Room 1225
Washington, DC 22041
Mailing address
5114 Wickett Ter
Bethesda, MD 20814-5715
Phone (301) 530-2472
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11578 | LA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1306185756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5114 WICKETT TER",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208145715",
"telephone_number": "301-530-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 I STREET NW",
"address_2": "ROOM 1225",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "22041",
"telephone_number": "202-461-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBBITS",
"first_name": "PAUL",
"middle_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-05",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "11578",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "11578",
"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 Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.