Individual provider Active NPI

Dean Clinton Preddie, M.D.

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1407934425
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
224968 Issued in NY
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 305-3273
NPI assigned
Nov 1, 2006
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0105420 MD
Nephrology Physician 207RN0300X 0101288095 VA
Nephrology Physician 207RN0300X 224968 NY Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

630 W 168TH St # 4
VC 12TH Floor, Suite 208
New York, NY 10032-3725

Other practice location 1

1005 N Glebe Rd Ste 230
Arlington, VA 22201-5792
Phone (571) 500-8451

Other practice location 2

8140 Corporate Dr Ste 125
Baltimore, MD 21236-6901
Phone (410) 931-9729

Other practice location 3

2121 Medical Park Dr Ste 5
Silver Spring, MD 20902-4058
Phone (301) 681-2782

Other practice location 4

2235 Staples Mill Rd Ste 104
Richmond, VA 23230-2942
Phone (804) 355-9729

Other identifiers 2

IdentifierTypeStateIssuer
02526185MedicaidNY
387969100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD, VA, DC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040514000515 NY Practitioner - Interventional RadiologyPractitioner - Internal MedicinePractitioner - Nephrology 2567452238 Reassigns benefits to 1 organization
I20251210000127 MD Practitioner - Nephrology 2567452238 Reassigns benefits to 1 organization
I20260225000920 VA Practitioner - NephrologyPractitioner - Interventional Radiology 2567452238 Reassigns benefits to 1 organization
I20260304000429 DC Practitioner - NephrologyPractitioner - Interventional Radiology 2567452238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Interventional Radiology
Education
Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthqare Services, LLCGroup PAC ID 6305984113, 8 clinicians
American Access Care Physician PLLCGroup PAC ID 8224929997, 18 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Suite 230
Arlington, VA 22201-5792
Phone (571) 500-8451

11919 Graham CT
Flushing, NY 11354-1047
Phone (718) 886-0700

206 -06 Hillside Ave
Queens Village, NY 11427-1710
Phone (718) 820-9729

35 E 110TH St
New York, NY 10029-0354
Phone (212) 427-9895

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
76.17
Promoting interoperability
99
Improvement activities
40
Cost
67.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224968NYMDLicensed Practical Nurse
D0105420MDMDNephrology Physician
0101288095VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Access Care Physician PLLC CurrentSince Jun 18, 2009 Accepting new patients
Healthqare Services LLC CurrentSince Apr 1, 2026 Accepting new patients
American Access Care of Baltimore LLC CurrentSince Dec 1, 2025 Accepting new patients
American Access Care of Richmond LLC CurrentSince Apr 1, 2026 Accepting new patients
Access Care Anesthesia of North Carolina PLLC PastSince Jan 9, 2024 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Trustees of Columbia University in City of Ny Hematology Oncology Past Accepting new patients
Renal Focus ASC LLC PastSince Dec 12, 2021 Accepting new patients

Locations

8140 Corporate Dr
Ste 125
Nottingham, MD 21236
Phone (410) 321-9729

3250 Westchester Ave
Rm 102
Bronx, NY 10461
Phone (718) 518-9000

1250 67th St
Brooklyn, NY 11219
Phone (718) 232-2322

2060 Utica Ave
Brooklyn, NY 11234
Phone (718) 676-5309

960 40th St
Brooklyn, NY 11219
Phone (718) 369-1444

11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000

900 Northern Blvd
Ste 140
Great Neck, NY 11021
Phone (516) 466-6760

35 E 110th St
#2
New York, NY 10029
Phone (212) 427-9895

35 E 110th St
Fl 3
New York, NY 10029
Phone (212) 426-3469

403 E 91st St
Fl 2
New York, NY 10128
Phone (212) 427-9895

27005 76th Ave
North New Hyde Pk, NY 11040

20606 Hillside Ave
Queens Village, NY 11427
Phone 7182225999213

40 Valley Stream Pkwy
Ste 100
Malvern, PA 19355

1005 N Glebe Rd
Ste 230
Arlington, VA 22201
Phone (571) 500-8451

2235 Staples Mill Rd
Ste 103
Richmond, VA 23230
Phone (804) 355-9729

2235 Staples Mill Rd
Ste 104
Richmond, VA 23230
Phone (804) 355-9729

Interoperability endpoints

  • Direct secure messaging: dean.preddie.p23@direct.aac.nextgenshare.com
  • Direct secure messaging: dean.preddie.p31@direct.aac.nextgenshare.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 10

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1407934425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST # 4",
            "address_2": "VC 12TH FLOOR, SUITE 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-3273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 N Glebe Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015792",
            "country_code": "US",
            "telephone_number": "571-500-8451",
            "fax_number": "571-526-1843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8140 Corporate Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212366901",
            "country_code": "US",
            "telephone_number": "410-931-9729",
            "fax_number": "410-931-2133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Medical Park Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209024058",
            "country_code": "US",
            "telephone_number": "301-681-2782",
            "fax_number": "301-681-2878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2235 Staples Mill Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232302942",
            "country_code": "US",
            "telephone_number": "804-355-9729",
            "fax_number": "804-355-9731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREDDIE",
        "first_name": "DEAN",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0105420",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101288095",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "224968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02526185",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387969100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.