De'Andre Antonino Warren, MD
Student in an Organized Health Care Education/Training Program in Charlottesville, VA. Individual provider (NPI-1).
Details
- NPI
- 1962039412
- Entity type
- Individual (NPI-1)
- Name
- De'Andre Antonino Warren
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2020
- Certification date
- Jun 11, 2025
- Last updated
- Jun 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OTOLARYNGOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 0116040411 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1215 Lee Street Box 800713Charlottesville, VA 22908-0816
Phone 434-924-5700 · Fax 434-924-1736
Mailing address
1215 Lee Street Box 800713Charlottesville, VA 22908-0816
Phone 434-924-5700 · Fax 434-924-1736
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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