ANDREA COLLEEN BAINES M.D., PH.D.
NPI 1619266103
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Q: What is Andrea Baines's NPI number?

The NPI number for Andrea Baines is 1619266103. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Q: What is Andrea Baines's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Baines was last updated on April 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 05, 2011PECOS Enrolled

4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0535(410) 550-0491 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Andrea Colleen Baines M.d., Ph.d. NPPES

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

ANDREA COLLEEN BAINES M.D., PH.D. (NPI 1619266103) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619266103

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameANDREA COLLEEN BAINESCredential: M.D., PH.D.

Location Address4940 EASTERN AVEBaltimore, MD 21224-2735

Mailing Address1779 Bridgewater DrYpsilanti, MI 48198-3282 · (240) 258-8384

Phone(410) 550-0535

Fax(410) 550-0491

Sole ProprietorNo

Enumeration DateApril 5, 2011

✔ NPI 1619266103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4940 EASTERN AVE, Baltimore, MD 21224

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Colleen Baines M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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