Individual provider Active NPI

Andrew L Garrett, MD, MPH, FAAP, FAEMS

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1881676203
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
217210 Issued in MA
Practice address
2600 Virginia Ave NW Ste T-100
Washington, DC 20037-1905
Phone
(202) 994-0904
NPI assigned
Nov 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 2057656 MD
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD045818 DC
Pediatrics Physician 208000000X 217210 MA Primary

Addresses

Primary practice location

2600 Virginia Ave NW Ste T-100
Washington, DC 20037-1905

Mailing address

2600 Virginia Ave NW Ste T-100
Washington, DC 20037-1905
Phone (202) 994-0904

Other identifiers 1

IdentifierTypeStateIssuer
2014092MedicaidMA

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
I20190715000210 DC Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 6002117223 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2057656MDMDParamedic

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital CurrentSince May 17, 2019 Accepting new patients
Children'S Hospital Pediatrics CurrentSince May 17, 2019 Accepting new patients
Children'S Hospital Current Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

Organizations & group practices 3

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": "1132444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1881676203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VIRGINIA AVE NW STE T-100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371905",
            "telephone_number": "202-994-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VIRGINIA AVE NW STE T-100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371905",
            "telephone_number": "202-994-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "ANDREW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, FAAP, FAEMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-20",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MD",
            "license": "2057656",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "DC",
            "license": "MD045818",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "217210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014092",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.