DULLES MEDICAL GROUP LLC (NPI# 1053408732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053408732 |
| Entity Type | Organization |
| Organization Name | DULLES MEDICAL GROUP LLC |
| Practice Address |
224d Cornwall St Nw Suite 303 Leesburg VA 20176-2700 |
| Practice Telephone | 7037778840 |
| Practice Fax Number | 7037790887 |
| Mailing Telephone | 7037778840 |
| Mailing Fax Number | 7037790887 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-01-15 |
| Authorized Official Name | DR. ANIL J PATEL (PRESIDENT) |
| Authorized Official Telephone | 7037778840 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
0101045895 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | CAREFIRST | A840-001 | 01 |
| VA | 005842875 | 05 | |
| VA | BLUECROSS BLUESHIELD | 070317 | 01 |
| Street Address |
224D CORNWALL ST NW SUITE 303 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057686 | Michael K Kuo | Physical Medicine & Rehabilitation | 224d Cornwall St Nw, Suite 202, Leesburg, VA 20176-2700 | 2005-07-20 |
| 1356951651 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 224d Cornwall St Nw, Leesburg, VA 20176-2713 | 2020-08-03 |
| 1104377746 | Loudoun Medical Group . P.c | Sleep Specialist, PhD | 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 | 2016-10-19 |
| 1194275339 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 | 2016-10-12 |
| 1952851107 | Loudoun Medical Group . P.c | Internal Medicine | 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 | 2016-10-12 |
| 1679927560 | Loudoun Medical Group PC | Physical Medicine & Rehabilitation | 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 | 2016-04-18 |
| 1093186587 | Nicole Langdon Price | Nurse Practitioner | 224d Cornwall St Nw, Leesburg, VA 20176-2700 | 2015-10-09 |
| 1609113380 | Kristen D Ritch | Physician Assistant | 224d Cornwall St Nw, Suite 102, Leesburg, VA 20176-2700 | 2013-01-15 |
| 1245586015 | Loudoun Medical Group PC | Internal Medicine | 224d Cornwall St Nw, Suite 303, Leesburg, VA 20176-2700 | 2012-07-31 |
| 1982981924 | Loudoun Medical Group PC | Orthopaedic Surgery | 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 | 2011-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952638041 | Courtland Leroy Munroe | Internal Medicine | 1210 W Main St, Leesburg, FL 34748-4935 | 2009-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477068328 | Integrity Healthcare Corporation | Internal Medicine | 243 Mclaws Cir Ste 101, Williamsburg, VA 23185-5673 | 2017-12-13 |
| 1265899124 | Brennan Geriatric Medicine PC | Internal Medicine | 5717 Park Creste Dr, Glen Allen, VA 23059-2604 | 2016-01-24 |
| 1932526233 | Nova Health Care Management | Internal Medicine | 8181 Pasture Rose Ct, Lorton, VA 22079-2957 | 2014-03-25 |
| 1205250172 | Leesburg Internal Medicine and And Primary Care LLC | Internal Medicine | 20093 Whistling Straits Pl, Ashburn, VA 20147-3196 | 2014-02-12 |
| 1487090833 | Elise Antoinette Sideris | Internal Medicine | 1201 Broad Rock Blvd # 181, Richmond, VA 23224-4915 | 2013-05-13 |
| 1508125386 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 | 2012-05-14 |
| 1043512205 | James Thompson Medical, Pllc | Internal Medicine | 507 N 28th St, Richmond, VA 23223-7303 | 2010-11-21 |
| 1417257585 | Richmond Internists Pllc | Internal Medicine | 4311 Otterburn Rd, Moseley, VA 23120-1262 | 2010-10-23 |
| 1144464678 | Katherine L Coffey-vega | Internal Medicine | 490 Hillsdale Dr, Charlottesville, VA 22901-5731 | 2009-04-28 |
| 1518122126 | James T Saunders Md PC | Internal Medicine | 1500 Still Harbor Ln, Virginia Beach, VA 23464-7218 | 2008-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.