Active NPI
Andrea L Gropman, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 22096
- Practice address
- Children'S National Medical Center
111 Michigan Avenue, N.W.
Washington, DC 20010 - Phone
- (202) 884-2120
- NPI assigned
- Aug 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 22096 | DC | Primary |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 22096 | DC | |
| Pediatrics Physician | 208000000X | 22096 | DC | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 72510 | TN |
Addresses
Primary practice location
Children'S National Medical Center
111 Michigan Avenue, N.W.
Washington, DC 20010
Mailing address
111 Michigan Ave NW
Washington, DC 20010-2916
Phone (202) 476-3511
Other practice location 1
262 Danny Thomas Pl
Memphis, TN 38105-3678
Phone (901) 595-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061115000136 | DC | Practitioner - Pediatric Medicine | 3072511690 | Reassigns benefits to 1 organization |
| I20241210001052 | TN | Practitioner - Neurology | 3072511690 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22096 | DC | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 72510 | TN | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Jude Children'S Research Hospital, Inc. | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Current | Accepting new patients | |
| Ut Lebonheur Pediatric Specialists, Inc. | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1306335088
Pediatrics, TN
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
Pediatrics, TN
-
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1407848005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MICHIGAN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102916",
"telephone_number": "202-476-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDREN'S NATIONAL MEDICAL CENTER",
"address_2": "111 MICHIGAN AVENUE, N.W.",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-884-2120"
}
],
"practiceLocations": [
{
"address_1": "262 Danny Thomas Pl",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381053678",
"country_code": "US",
"telephone_number": "901-595-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROPMAN",
"first_name": "ANDREA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-19",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "DC",
"license": "22096",
"primary": true
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "DC",
"license": "22096",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "22096",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TN",
"license": "72510",
"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 Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.