Barry S. Dicicco (NPI# 1093717324, PAC ID# 3173582392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1093717324 |
| PAC ID by PECOS | 3173582392 |
| Professional Enrollment ID | I20100414000169 |
| Full Name | Barry S. Dicicco |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
3300 Gallows Rd Falls Church VA 22042-3307 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | PULMONARY DISEASE |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 969 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490101 | INOVA FAIR OAKS HOSPITAL |
| 490063 | INOVA FAIRFAX HOSPITAL |
| 490107 | RESTON HOSPITAL CENTER |
| 490043 | INOVA LOUDOUN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3650 Joseph Siewick Dr, Fairfax, VA 22033-1715 | PRIVIA MEDICAL GROUP,LLC | |
| 3300 Gallows Rd, Falls Church, VA 22042-3307 | PRIVIA MEDICAL GROUP,LLC | |
| 1850 A Town Ctr Pkwy, Suite 209, Reston, VA 20190-3232 | 7034375532 | PRIVIA MEDICAL GROUP,LLC |
| 1850 Town Ctr Pkwy, Reston, VA 20190-3219 | PRIVIA MEDICAL GROUP,LLC | |
| 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 | 3019172191 | PRIVIA MEDICAL GROUP,LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Physicians | 987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Jones-sheppard | Nurse Practitioner | Privia Medical Group,llc | 3903 Fair Ridge Dr, Suite 219, Fairfax, VA 22033-2945 |
| Ryan Timothy Pyles | Physician Assistant | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Emily Christine Stano | Psychologist, Clinical | Privia Medical Group,llc | 1901 Research Blvd, Suite 160, Rockville, MD 20850-6122 |
| Deidre Ann Fisher | Nurse Practitioner | Privia Medical Group,llc | 7505 Democracy Blvd, A113, Bethesda, MD 20817-1238 |
| Stephanie Carter | Family Medicine | Privia Medical Group,llc | 3650 Joseph Swck Dr, 205b All Female Obgyn LLC, Fairfax, VA 22033-1710 |
| Belen Tesfaye | Gastroenterology | Privia Medical Group,llc | 18121 Georgia Ave, Suite 103, Olney, MD 20832-1437 |
| Anita Sikand | Obstetrics/gynecology | Privia Medical Group,llc | 2440 M Street, 320 Pmg_cwhp_dc Office', Washington, DC 20037-1473 |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Carrie S Goodrich | Nurse Practitioner | Privia Medical Group,llc | 142 Smithfield Rd, Saint Stephens Church, VA 23148-2129 |
| Jonathan L Siddon | Internal Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Street Address |
3300 GALLOWS RD |
| City | FALLS CHURCH |
| State | VA |
| Zip | 22042-3307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven A Lussos | Anesthesiology | American Anesthesiology of Virginia, PC | 3300 Gallows Rd, Falls Church, VA 22042-3307 |
| Madhusudanan Srambickal Ramaswamy | Internal Medicine | 3300 Gallows Rd, Falls Church, VA 22042-3307 | |
| Frances M Gill | Emergency Medicine | Ne Virginia Emergency Physicians LLC | 3300 Gallows Rd, Falls Church, VA 22042-3307 |
| Brian Mchugh | Neurosurgery | Inova Health Care Services | 3300 Gallows Rd, Falls Church, VA 22042-3307 |
| Janelle J Benitez | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Virginia, PC | 3300 Gallows Rd, Falls Church, VA 22042-3307 |
| Chin Hee Kim | Internal Medicine | Inova Health Care Services | 3300 Gallows Rd, Falls Church, VA 22042-3307 |
| Tanveer Gaibi | Emergency Medicine | Ne Virginia Emergency Physicians LLC | 3300 Gallows Rd, Falls Church, VA 22042-3307 |
| Bao-ngoc Nguyen | Vascular Surgery | Inova Health Care Services | 3300 Gallows Rd, Falls Church, VA 22042-3307 |
| Candyce Heather Greene | Internal Medicine | Inova Health Care Services | 3300 Gallows Rd, Falls Church, VA 22042-3307 |
| Christina N Awad | Internal Medicine | Inova Health Care Services | 3300 Gallows Rd, Falls Church, VA 22042-3307 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elham Quraishi | Optometry | May and Hettler Od PC | 8112 Arlington Blvd, Falls Church, VA 22042-1002 |
| Patricia A Clubb | Optometry | May and Hettler Od PC | 8112 Arlington Blvd, Falls Church, VA 22042-1002 |
| Kiren M Dayal | Family Medicine | 8191 Strawberry Ln, Suite 6, Falls Church, VA 22042-1032 | |
| Sarah J Blank | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Laurence R O Halloran | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Timothy J Egan | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Antonio J Cachay | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Eugenia Marino | Qualified Audiologist | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Heinz He Scheidemandel | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Jeffrey Scheidlinger | Anesthesiology | American Anesthesiology of Virginia, PC | 2921 Telestar Ct, Falls Church, VA 22042-1205 |
| Find all physicians in zip 22042 | |||
| City | FALLS CHURCH |
| Zip Code | 22042 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | FALLS CHURCH + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Barry S. Dicicco.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.