Individual provider Active NPI

Alice Solademi-Dunkle

  • Family Medicine Physician
  • Forest, VA
National Provider Identifier
1083144208
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102206970 Issued in VA
Practice address
16890 Forest Rd
Forest, VA 24551-4059
Phone
(434) 200-7210
Fax
(434) 525-2138
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0102206970 VA Primary

Addresses

Primary practice location

16890 Forest Rd
Forest, VA 24551-4059

Mailing address

16890 Forest Rd
Forest, VA 24551-4059
Phone (434) 200-7210

Other practice location 1

300 W 27th St
Lumberton, NC 28358-3075
Phone (910) 671-5000

Other practice location 2

602 Brandon Ave SW
Roanoke, VA 24015-3212
Phone (540) 774-0000

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
I20220419000483 VA Practitioner - Family Practice 5890044333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michumi PLLC CurrentSince Oct 27, 2025 Accepting new patients
Roanoke Valley Healthcare Partners, LLC Family Medicine CurrentSince Jan 7, 2022 Accepting new patients
Peninsula Radiological Associates Limited PastSince Oct 27, 2025 Accepting new patients
Blue Ridge Healthcare Partners, LLC PastSince Jan 7, 2022 Accepting new patients

Locations

4101 Dominion Blvd
Ste 300
Glen Allen, VA 23060
Phone (804) 747-5555

4101 Dominion Blvd
Glen Allen, VA 23060
Phone (804) 747-5555

12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500

12997 Warwick Blvd
Newport News, VA 23602
Phone (757) 369-3357

1119 N Military Hwy
Ste 300
Norfolk, VA 23502
Phone (757) 224-3004

602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000

120 Monticello Ave
Williamsburg, VA 23185
Phone (757) 564-3627

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1083144208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16890 FOREST RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514059",
            "telephone_number": "434-200-7210",
            "fax_number": "434-525-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16890 FOREST RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514059",
            "telephone_number": "434-200-7210",
            "fax_number": "434-525-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283583075",
            "country_code": "US",
            "telephone_number": "910-671-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Brandon Ave SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240153212",
            "country_code": "US",
            "telephone_number": "540-774-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLADEMI-DUNKLE",
        "first_name": "ALICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.