Individual provider Active NPI

Juliet Anadu, M.D.

  • Pediatrics Physician
  • Waldorf, MD
National Provider Identifier
1750358370
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0039342 Issued in MD
Practice address
10 Saint Patricks Dr Ste 105
Waldorf, MD 20603-5527
Phone
(301) 645-1414
Fax
(301) 645-4586
NPI assigned
Mar 2, 2006
Last updated
Apr 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0039342 MD
Pediatrics Physician 208000000X D0039342 MD Primary

Addresses

Primary practice location

10 Saint Patricks Dr Ste 105
Waldorf, MD 20603-5527

Mailing address

10 Saint Patricks Dr Ste 105
Waldorf, MD 20603-5527
Phone (301) 645-1414

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
I20120817000092 DC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3375560220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Union Memorial Hospital Past Accepting new patients
Medlantic Healthcare Group Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Holy Cross Health, Inc Past Accepting new patients
Medstar Southern Maryland Physicians, LLC Pediatrics Past Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janadu801392@direct.umm.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1750358370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SAINT PATRICKS DR STE 105",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035527",
            "telephone_number": "301-645-1414",
            "fax_number": "301-645-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SAINT PATRICKS DR STE 105",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035527",
            "telephone_number": "301-645-1414",
            "fax_number": "301-645-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANADU",
        "first_name": "JULIET",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0039342",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0039342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.