Individual provider Active NPI

Denyse R Bailey, M.D.

  • Pediatrics Physician
  • Manassas, VA
National Provider Identifier
1801940531
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101229141 Issued in VA
Practice address
9430 Forestwood LN Ste 100
Manassas, VA 20110
Phone
(703) 365-0227
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101229141 VA Primary
Pediatrics Physician 208000000X D0056279 MD

Addresses

Primary practice location

9430 Forestwood LN Ste 100
Manassas, VA 20110

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (844) 266-8268

Other practice location 1

5249 Duke St
303
Alexandria, VA 22304-2926
Phone (703) 823-7400

Other practice location 2

5249 Duke St
303
Alexandria, VA 22304-2926
Phone (703) 823-7400

Other identifiers 1

IdentifierTypeStateIssuer
685700100MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbailey688333@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170410001489 VA Practitioner - Pediatric Medicine 4688950462 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056279MDMDPediatrics Physician
0101229141VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 6, 2017 Accepting new patients
Uva Community Health Medical Group, LLC Pediatrics CurrentSince Aug 2, 2020 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Aug 2, 2020 Accepting new patients
Privia Medical Group, LLC Pediatrics CurrentSince Apr 6, 2017 Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

8180 Stonewall Shops Sq
Gainesville, VA 20155
Phone (703) 365-0227

9430 Forestwood Ln
Ste 100
Manassas, VA 20110
Phone (571) 284-1430

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: dbailey517079@direct.healthsystem.virginia.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1801940531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "844-266-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 FORESTWOOD LN STE 100",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-365-0227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5249 Duke St",
            "address_2": "303",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223042926",
            "country_code": "US",
            "telephone_number": "703-823-7400",
            "fax_number": "301-972-9593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5249 Duke St",
            "address_2": "303",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223042926",
            "country_code": "US",
            "telephone_number": "703-823-7400",
            "fax_number": "301-972-9593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DENYSE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101229141",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0056279",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685700100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbailey688333@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "5249 Duke St",
            "address_2": "303",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223042926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.