Active NPI
Denyse R Bailey, M.D.
- Pediatrics Physician
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101229141
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 685700100 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0056279 | MD | MD | Pediatrics Physician |
| 0101229141 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Pediatrics | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
- Pediatrics Physician
- Manassas, VA
- NPI 1164990941
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Family Medicine Physician
- Manassas, VA
- NPI 1366744039
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.