Individual provider Active NPI

Sabine Constanze De la Croix-Vaubois, MD

  • Pediatrics Physician
  • Bethesda, MD
National Provider Identifier
1851486658
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0069560 Issued in MD
Practice address
4808 Moorland LN Ste 109
Bethesda, MD 20814-6131
Phone
(301) 654-9476
Fax
(301) 654-1164
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0069560 MD Primary

Addresses

Primary practice location

4808 Moorland LN Ste 109
Bethesda, MD 20814-6131

Mailing address

4808 Moorland LN Ste 109
Bethesda, MD 20814-6131
Phone (301) 654-9476

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
I20100422000049 DC Practitioner - Pediatric Medicine 0648307769 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pediatrics CurrentSince Sep 8, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 8, 2020 Accepting new patients
Lactation Consultants of America Past Accepting new patients
Chevy Chase Pediatric Center P.C. Pediatrics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4808 Moorland Ln
Ste 109
Bethesda, MD 20814
Phone (301) 654-9476

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: sabine.de.la.croix-vaubois.1@8042.direct.athenahealth.com

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1851486658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 MOORLAND LN STE 109",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146131",
            "telephone_number": "301-654-9476",
            "fax_number": "301-654-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 MOORLAND LN STE 109",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146131",
            "telephone_number": "301-654-9476",
            "fax_number": "301-654-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CROIX-VAUBOIS",
        "first_name": "SABINE",
        "middle_name": "CONSTANZE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0069560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.