Individual provider Active NPI

Bethlehem Addis, NP

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1417445107
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R203814 Issued in MD
Practice address
6410 Rockledge Dr Ste 503
Bethesda, MD 20817-7822
Phone
(301) 530-1700
NPI assigned
Apr 27, 2018
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R203814 MD Primary

Addresses

Primary practice location

6410 Rockledge Dr Ste 503
Bethesda, MD 20817-7822

Mailing address

11105 Flanagan LN
Germantown, MD 20876-1748
Phone (240) 543-1385

Other practice location 1

7580 Buckingham Blvd Ste 110
Hanover, MD 21076-3208
Phone (410) 760-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181211001150 DC Practitioner - Nurse Practitioner 9335483825 Reassigns benefits to 2 organizations
I20210819003112 MD Practitioner - Nurse Practitioner 9335483825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 130
Columbia, MD 21044-3258
Phone (410) 772-7000

6410 Rockledge Dr
Suite 503
Bethesda, MD 20817-7822
Phone (301) 530-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R203814MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Hospital Center Corp CurrentSince Oct 20, 2018 Accepting new patients
Washington Hospital Center Corp Current Accepting new patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Mar 1, 2021 Accepting new patients
Washington Hospital Center Corp CurrentSince Oct 20, 2018 Accepting new patients
Chesapeake Urology Associates, LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

6410 Rockledge Dr
Ste 503
Bethesda, MD 20817
Phone (301) 530-1700

10710 Charter Dr
Ste 130
Columbia, MD 21044
Phone (301) 725-8880

7580 Buckingham Blvd
Ste 110
Hanover, MD 21076

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

Interoperability endpoints

  • Direct secure messaging: baddis571301@direct.hopkinsmedicine.org
  • Direct secure messaging: bethlehemaddis@tsicua.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1417445107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 FLANAGAN LN",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208761748",
            "telephone_number": "240-543-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR STE 503",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177822",
            "telephone_number": "301-530-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7580 Buckingham Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "MD",
            "postal_code": "210763208",
            "country_code": "US",
            "telephone_number": "410-760-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDIS",
        "first_name": "BETHLEHEM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R203814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.