TABITHA E ANDRE – Obstetrics & Gynecology Physician, NPI 1164612917

TABITHA E ANDRE is a healthcare provider. based in Springfield, Virginia. specializing in OBSTETRICS/GYNECOLOGY. They hold a License No. 0101245690 (VA). The NPI Number for TABITHA E ANDRE is 1164612917

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TABITHA E ANDRE
NPI
1164612917
Phone
(305) 761-2889
Address
6600 COMET CIR
Enumeration Date
27 July 2007
Last Update Date
25 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7033704300
Graduation Year
2004 (22 years ago)
PAC ID
7719032002
Group Practice PAC ID
0648166405
Professional Enrollment ID
I20090910000434
Address ID
VA223041306AL4660XAVEX319
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,164 OBSTETRICS/GYNECOLOGY in VA

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Provider Addresses for TABITHA E ANDRE

  • 6600, Comet Circle, Springfield Station, Springfield, Fairfax, Virginia, 22150, United States

    APT #101

    SPRINGFIELD, VA 221504533

    Phone: (305) 761-2889

    Type: Mailing

  • Sonus Alexandria Hearing Care Professionals, 4660, Kenmore Avenue, John Adams, Varsity Park, Alexandria, Virginia, 22304, United States

    SUITE 902

    ALEXANDRIA, VA 223041313

    Phone: (703) 307-4300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $327.

Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($85).

Total Amount

$327

General + Research + Ownership

Payments

16

Total payment records

General Amount

$327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090910000434IObstetrics/GynecologyDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2929$0
99213Established patient office or other outpatient visit, 20-29 minutes2622$0
View full utilization report →

Insurance plans in this area (ZIP 22150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648166405View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YVA
Certified Nurse Midwife (Cnm)DC
O B S T E T R I C S/ G Y N E C O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YVA
Certified Nurse Midwife (Cnm)FL
O B S T E T R I C S/ G Y N E C O L O G YVA
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YDC
Certified Nurse Midwife (Cnm)VA
Certified Nurse Midwife (Cnm)HI

Reviews

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Frequently asked questions

Is TABITHA E ANDRE listed with a National Provider Identifier?
Yes — TABITHA E ANDRE has NPI 1164612917 on file in the registry.
Active or inactive — what applies to TABITHA E ANDRE?
You should see TABITHA E ANDRE as active in CMS-hosted NPPES data.
What expertise is attributed to TABITHA E ANDRE?
TABITHA E ANDRE's specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Virginia is TABITHA E ANDRE registered?
Use Springfield, Virginia as the headline location for TABITHA E ANDRE here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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