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DR. ANDRA DAWN DISTEFANO MD
NPI 1144421975
Anesthesiology in Baltimore, MD

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
22 S GREENE ST, SUITE S11C07, BALTIMORE, MD 21201(410) 328-9909 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andra Dawn Distefano Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDRA DAWN DISTEFANO MD (NPI 1144421975) is an individual anesthesiology provider in Baltimore, Maryland, licensed in Maryland (D0070662) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1144421975
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. ANDRA DAWN DISTEFANOCredential: MD
Location Address22 S GREENE ST, SUITE S11C07Baltimore, MD 21201-1544
Mailing Address1202 Southview RdBaltimore, MD 21218-1400
Phone(410) 328-9909
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 30, 2007
Last NPPES UpdateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1144421975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in MD · D0070662✔ Licensed in CA · A103969
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT188256 (PA)
22 S GREENE ST, Baltimore, MD 21201
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Other Names 1

Former Name (1)Dr. Andra Dawn Mariotti Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andra Dawn Distefano Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799971545
PECOS Enrollment IDI20101119000330
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEONARD ANANG SOWAH M.D.
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-4619
VISHAL BHATNAGAR MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NANCE J FOX P.A.-C
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Baltimore City (410) 328-1170
HILARY TAMARA WOLF MD
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 328-7373
MS. LINDSAY BREAM O'MEARA CRNP
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Baltimore City (410) 328-3365
NORA T OLIVER M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756
SHOSHANA JO WEINER
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (617) 214-1332
JENNA VANLIERE CANZONIERO M.D.
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andra Distefano's NPI number?

The NPI number for Andra Distefano is 1144421975. It was assigned to this individual provider in the NPPES registry on May 30, 2007. The provider is also known as Dr. Andra Dawn Mariotti MD.

Where is Andra Distefano located?

Andra Distefano practices at 22 S Greene St Suite S11c07, Baltimore, MD 21201. The listed phone number is (410) 328-9909.

What is Andra Distefano's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Andra Distefano enrolled in Medicare?

Yes. Andra Distefano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andra Distefano was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.