Individual provider Active NPI

Lena Diane Baram, MD

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1891877403
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
011720079 Issued in DC
Practice address
2021 K St NW Ste 800
Washington, DC 20006-1008
Phone
(202) 833-4543
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 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 189342 NY
Pediatrics Physician 208000000X 011720079 DC Primary

Addresses

Primary practice location

2021 K St NW Ste 800
Washington, DC 20006-1008

Mailing address

PO Box 1554
Stony Brook, NY 11790-0988
Phone (631) 444-0650

Other practice location 1

260 E Main St
Smithtown, NY 11787-2982
Phone (631) 979-7222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbrooks@cnmc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011720079DCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Pediatricians & Associates, LLC Pediatrics PastSince Nov 8, 2020 Accepting new patients

Organizations & group practices 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1891877403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988",
            "telephone_number": "631-444-0650",
            "fax_number": "631-638-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 800",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061008",
            "telephone_number": "202-833-4543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 E Main St",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117872982",
            "country_code": "US",
            "telephone_number": "631-979-7222",
            "fax_number": "631-979-5376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAM",
        "first_name": "LENA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "189342",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "011720079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbrooks@cnmc.org",
            "affiliation": "N",
            "address_1": "2021 K St NW Ste 800",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200061008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.