Individual provider Active NPI

Andrew Leach Gaddis, MD

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1306404868
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D97809 Issued in MD
Practice address
5200 Eastern Ave FL 3
Baltimore, MD 21224-2753
Phone
(410) 550-0526
Fax
(410) 550-1094
NPI assigned
May 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D97809 MD Primary

Addresses

Primary practice location

5200 Eastern Ave FL 3
Baltimore, MD 21224-2753

Mailing address

143 E North Ave Apt 3
Baltimore, MD 21202-5918
Phone (516) 314-7697

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
I20230726002026 MD Practitioner - Psychiatry 1355670761 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2023 Accepting new patients

Locations

5200 Eastern Ave
Fl 3
Baltimore, MD 21224
Phone (410) 550-0526

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Interoperability endpoints

  • Direct secure messaging: agaddis100975@direct.hopkinsmedicine.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1306404868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E NORTH AVE APT 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025918",
            "telephone_number": "516-314-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE FL 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242753",
            "telephone_number": "410-550-0526",
            "fax_number": "410-550-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "ANDREW",
        "middle_name": "LEACH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D97809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.