Active NPI
Lynn A Daltner, M.D.
- Internal Medicine Physician
- Springfield, VA
National Provider Identifier
1043210941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101052561
- Practice address
- 5510 Alma LN
Springfield, VA 22151-4012 - Phone
- (703) 642-5990
- Fax
- (703) 642-5003
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101052561 | VA | Primary |
Addresses
Primary practice location
5510 Alma LN
Springfield, VA 22151-4012
Mailing address
5510 Alma LN
Springfield, VA 22151-4012
Phone (703) 642-5990
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1079335 | Other | VA | AFFORDABLE FIRST HEALTH |
| 5865565 | Medicaid | VA | |
| 0403418 | Other | VA | UNITED HEALTH MID-ATLANTI |
| 0403418 | Other | VA | UNITED HEALTH VIRGINIA |
| 453710 | Other | VA | TRIGON KEYAD |
| 0544728 | Other | VA | AETNA/US HEALTHCARE |
| 504071 | Other | VA | NCPPO |
| 295698 | Other | VA | MDIPA/OPTIMUM CHOICE/MAMS |
| 382881 | Other | VA | ONE HEALTH GREATWEST |
| 5052074 | Other | VA | AHP MGD CHOICE |
| 453710 | Other | VA | ANTHEM HEALTHKEEPERS |
| 45560014 | Other | VA | BCBS DC/CAPCARE |
| 7978415005 | Other | VA | CIGNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101052561 | VA | MD | Internal Medicine Physician |
| 0101055940 | VA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paramount Care Physicians LLP | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10036785
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Fairfax, VA
- NPI 1033390356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043210941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 ALMA LN",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221514012",
"telephone_number": "703-642-5990",
"fax_number": "703-642-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 ALMA LN",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221514012",
"telephone_number": "703-642-5990",
"fax_number": "703-642-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTNER",
"first_name": "LYNN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101052561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFORDABLE FIRST HEALTH",
"identifier": "1079335",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5865565",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH MID-ATLANTI",
"identifier": "0403418",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH VIRGINIA",
"identifier": "0403418",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON KEYAD",
"identifier": "453710",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "0544728",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "504071",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA/OPTIMUM CHOICE/MAMS",
"identifier": "295698",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH GREATWEST",
"identifier": "382881",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHP MGD CHOICE",
"identifier": "5052074",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEPERS",
"identifier": "453710",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DC/CAPCARE",
"identifier": "45560014",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "7978415005",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.