Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andra Dawn Distefano, MD

Individual provider Anesthesiology Physician · NPI 1144421975

Dr. Andra Dawn Distefano, MD is an Anesthesiology in Baltimore, Maryland. Qualified in 2006, 20 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in California, Maryland and Pennsylvania.

Years since qualifying
20
Licensed in
CA, MD, PA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22 S Greene St Ste S11C07
Baltimore, MD 21201-1544
Phone: (410) 328-9909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence D0070662 (MD)
Anesthesiology Physician Taxonomy 207L00000X · Licence A103969 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT188256 (PA)

Record details

NPI number1144421975
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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