Individual provider Active NPI

Andrea J Donohoe, PA-C

  • Medical Physician Assistant
  • White Plains, MD
National Provider Identifier
1871998179
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
4475 Regency PL
Suite 303
White Plains, MD 20602-3269
Phone
(301) 645-3420
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004785 VA
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

4475 Regency PL
Suite 303
White Plains, MD 20602-3269

Mailing address

4475 Regency PL
Suite 303
White Plains, MD 20602-3269
Phone (301) 645-3420

Other practice location 1

2501 Parkers Ln
Alexandria, VA 22306-3209
Phone (703) 664-7000

Other identifiers 1

IdentifierTypeStateIssuer
1122710OtherPANCCPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160119000333 DC Practitioner - Physician Assistant 1153624523 Reassigns benefits to 4 organizations
I20180221001837 MD Practitioner - Physician Assistant 1153624523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson CT
Bowie, MD 20716-3181

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118

Hospital & facility affiliations

  • Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Springfield Emergency Physicians PC CurrentSince May 1, 2018 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 16, 2021 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 16, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2021 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Oct 1, 2021 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Organizations & group practices 20

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.

View all 20

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": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1871998179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PL",
            "address_2": "SUITE 303",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206023269",
            "telephone_number": "301-645-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PL",
            "address_2": "SUITE 303",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206023269",
            "telephone_number": "301-645-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Parkers Ln",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063209",
            "country_code": "US",
            "telephone_number": "703-664-7000",
            "fax_number": "703-664-7666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOHOE",
        "first_name": "ANDREA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004785",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1122710",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.