Individual provider Active NPI

Marc C Alembik, MD

  • Obstetrics & Gynecology Physician
  • Woodbridge, VA
National Provider Identifier
1003899840
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101050991 Issued in VA
Practice address
2296 Opitz Blvd
#440
Woodbridge, VA 22191
Phone
(703) 878-0740
Fax
(703) 878-3933
NPI assigned
Nov 25, 2005
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101050991 VA
Obstetrics & Gynecology Physician 207V00000X 0101050991 VA Primary

Addresses

Primary practice location

2296 Opitz Blvd
#440
Woodbridge, VA 22191

Mailing address

2296 Opitz Blvd
#440
Woodbridge, VA 22191
Phone (703) 878-0740

Other identifiers 1

IdentifierTypeStateIssuer
006202403MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121011000406 VA Practitioner - Obstetrics/Gynecology 8820247653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
About Women OB/GYNGroup PAC ID 2769382613, 6 clinicians

Practice addresses (Care Compare)

2296 Opitz Blvd
Suite 440
Woodbridge, VA 22191-3300
Phone (703) 878-0740

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101050991VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
About Women OB/GYN Specialist CurrentSince Jul 1, 1994 Accepting new patients
Associates in Gastroenterology, P.C. Specialist Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8314 Traford Ln
Springfield, VA 22152
Phone (703) 451-0502

2296 Opitz Blvd
Ste 440
Woodbridge, VA 22191
Phone (703) 878-0740

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039435
  • Direct secure messaging: marcalembik@awobgynpc.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1003899840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD",
            "address_2": "#440",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-878-0740",
            "fax_number": "703-878-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD",
            "address_2": "#440",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-878-0740",
            "fax_number": "703-878-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEMBIK",
        "first_name": "MARC",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101050991",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101050991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006202403",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.