Individual provider Active NPI

Dorothy Mary Nicholson, M.D.

  • Rheumatology Physician
  • Alexandria, VA
National Provider Identifier
1033298138
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
010137786 Issued in VA
Practice address
101 S Whiting St
Suite 105
Alexandria, VA 22304-3418
Phone
(703) 751-8804
Fax
(703) 751-1218
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 010137786 VA Primary

Addresses

Primary practice location

101 S Whiting St
Suite 105
Alexandria, VA 22304-3418

Mailing address

101 S Whiting St
Suite 105
Alexandria, VA 22304-3418
Phone (703) 751-8804

Other identifiers 1

IdentifierTypeStateIssuer
5876257MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20111102000029 DC Practitioner - Rheumatology 8628248861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Boston University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 S Whiting St
Suite 105
Alexandria, VA 22304-3416
Phone (703) 751-8804

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.24 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010137786VAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Schwartz and Nicholson, PLC Rheumatology CurrentSince Jun 7, 2001 Accepting new patients

Locations

101 S Whiting St
Ste 105
Alexandria, VA 22304
Phone (703) 751-8804

Organizations & group practices 1

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 5

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033298138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S WHITING ST",
            "address_2": "SUITE 105",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043418",
            "telephone_number": "703-751-8804",
            "fax_number": "703-751-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WHITING ST",
            "address_2": "SUITE 105",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043418",
            "telephone_number": "703-751-8804",
            "fax_number": "703-751-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "DOROTHY",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "010137786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5876257",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.