Individual provider Active NPI

Andrea D Hulse, DO

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1679532220
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0073074 Issued in MD
Practice address
2415 Musgrove Rd
#105
Silver Spring, MD 20904-5202
Phone
(301) 989-0193
Fax
(301) 879-2325
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0073074 MD Primary

Addresses

Primary practice location

2415 Musgrove Rd
#105
Silver Spring, MD 20904-5202

Mailing address

2415 Musgrove Rd
#105
Silver Spring, MD 20904-5202
Phone (301) 989-0193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20120601000355 DC Practitioner - Family Practice 5092744672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complete Concierge Care Medical ofGroup PAC ID 5294110854, 8 clinicians

Practice addresses (Care Compare)

5215 Loughboro Rd NW
Washington, DC 20016-2618
Phone (202) 243-4480

5215 Loughboro Rd NW
Suite 460
Washington, DC 20016-2629
Phone (202) 244-9300

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.95 of 100Reported as group
Quality
81.75
Improvement activities
40
Cost
64.17

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0073074MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince Feb 3, 2014 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Feb 3, 2014 Accepting new patients
Complete Concierge Care Medical of Family Medicine CurrentSince Mar 3, 2024 Accepting new patients
Ashurst Family Physicians, PA Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lumberton Family Physicians, LLC Family Medicine Past Accepting new patients

Locations

5215 Loughboro Rd NW
Ste 460
Washington, DC 20016
Phone (202) 244-9300

5215 Loughboro Rd NW
Washington, DC 20016
Phone (202) 537-4400

5215 Loughboro Rd NW
Ste 310
Washington, DC 20016
Phone (202) 244-9300

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

Interoperability endpoints

  • Direct secure messaging: ahulsejohnson149607@direct.hopkinsmedicine.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1679532220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD",
            "address_2": "#105",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045202",
            "telephone_number": "301-989-0193",
            "fax_number": "301-879-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD",
            "address_2": "#105",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045202",
            "telephone_number": "301-989-0193",
            "fax_number": "301-879-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "ANDREA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0073074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.