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DE'ANDRE ANTONINO WARREN MD
NPI 1962039412
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since March 25, 2020PECOS Enrolled
1215 LEE STREET BOX 800713, CHARLOTTESVILLE, VA 22908(434) 924-5700(434) 924-1736 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Mar 25, 2020 (2 updates tracked since 2020).

About De'andre Antonino Warren Md NPPES

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

DE'ANDRE ANTONINO WARREN MD (NPI 1962039412) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0116040411) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962039412
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDE'ANDRE ANTONINO WARRENCredential: MD
Location Address1215 LEE STREET BOX 800713Charlottesville, VA 22908-0816
Mailing Address1215 Lee Street Box 800713Charlottesville, VA 22908-0816 · (434) 924-5700 · Fax (434) 924-1736
Phone(434) 924-5700
Fax(434) 924-1736
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1962039412 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
License✔ Licensed in VA · 0116040411
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.
1215 LEE STREET BOX 800713, Charlottesville, VA 22908
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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)

De'andre Antonino Warren Md 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Compressor, air power source for equipment which is not self-contained or cylinder driven E0565
DME-Other DME · category DE000N
1 supplier12 claims12 services$27.03 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers15 claims15 services$32.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 De'andre Warren's NPI number?

The NPI number for De'andre Warren is 1962039412. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is De'andre Warren located?

De'andre Warren practices at 1215 Lee Street Box 800713, Charlottesville, VA 22908. The listed phone number is (434) 924-5700.

What is De'andre Warren's specialty?

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

Is De'andre Warren enrolled in Medicare?

Yes. De'andre Warren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for De'andre Warren was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.