Crossover Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CROSSOVER MEDICAL LLC

Doing business as

Crossover Medical Center

Practice address

6922 Little River Turnpike
Suite D
Annadale, VA 22003

Phone

(703) 705-9306

Fax

(703) 890-3114

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CROSSOVER MEDICAL LLCAs reported in NPPES

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

Authorized official

Name

Dr. Rotimi Adegoke Iluyomade, M.D.NPI 1043298615

Title

Medical Director/Ceo

Phone

(301) 379-7736

Specialties & licenses 7

Addresses

Other names 1

• CROSSOVER MEDICAL CENTER Doing business as

Part of

Crossover Medical LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rotimi A Iluyomade, MD

  • Emergency Medicine Physician
  • Annandale, VA
  • NPI 1043298615
  NPD Authorized official

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1023719366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6922 LITTLE RIVER TURNPIKE",
            "address_2": "SUITE D",
            "city": "ANNADALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-705-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6922 LITTLE RIVER TURNPIKE",
            "address_2": "SUITE D",
            "city": "ANNADALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-705-9306",
            "fax_number": "703-890-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSSOVER MEDICAL LLC",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "ILUYOMADE",
        "authorized_official_first_name": "ROTIMI",
        "authorized_official_middle_name": "ADEGOKE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "301-379-7736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSSOVER MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harpers Wellness LLC
• Northern Virginia Neurology & Headache, PLLC
• Ross Stuart Silverstein, MD

• Family Medicine Physician in Annadale, VA
• Providers in Annadale, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.