Individual provider Active NPI

Andrey Ostrovsky, M.D.

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1932423993
Registry record updated Jun 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
249011 Issued in DC
Practice address
111 Michigan Ave NW
Washington, DC 20010-2916
Phone
(301) 565-4280
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 35000705 MA
Pediatrics Physician 208000000X 249011 DC Primary

Addresses

Primary practice location

111 Michigan Ave NW
Washington, DC 20010-2916

Mailing address

PO Box 37215
Baltimore, MD 21297-3215

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
I20190610002341 DC Practitioner - Pediatric Medicine 3274752696 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249011DCMDPediatrics Physician
35000705MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital CurrentSince Apr 21, 2019 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Apr 21, 2019 Accepting new patients
Mary'S Center for Maternal and Child Care, Inc CurrentSince Jan 6, 2023 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Jan 6, 2023 Accepting new patients
Mary'S Center for Maternal and Child Care, Inc Current Accepting new patients
Children'S Hospital Current Accepting new patients
Carda Health of NJ PC PastSince Feb 1, 2023 Accepting new patients
Cupid Medical PSC PastSince Jan 1, 2022 Accepting new patients
Cupid Medical of California P.C. PastSince May 1, 2022 Accepting new patients
Carda Health of KS, P.a. PastSince May 1, 2023 Accepting new patients

Locations

3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797

6315 5th St NW
Washington, DC 20011
Phone (202) 671-6080

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

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

100 Gallatin St NE
Washington, DC 20011
Phone (202) 545-0515

8908 Riggs Rd
Hyattsville, MD 20783
Phone (301) 422-5900

344 University Blvd W
Silver Spring, MD 20901
Phone (301) 439-0300

Organizations & group practices 10

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434153600000",
    "number": "1932423993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37215",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "301-565-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROVSKY",
        "first_name": "ANDREY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2015-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "35000705",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "249011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.