Individual provider Active NPI

Anthony J Comerota, M.D.

  • Vascular Surgery Physician
  • Falls Church, VA
National Provider Identifier
1083610950
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101263955 Issued in VA
Practice address
2921 Telestar CT
Falls Church, VA 22042-1205
Phone
(703) 280-5858
Fax
(703) 849-0874
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 0101263955 VA Primary

Addresses

Primary practice location

2921 Telestar CT
Falls Church, VA 22042-1205

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

2501 Parkers Ln
Alexandria, VA 22306-3209
Phone (703) 664-7000

Other practice location 2

8081 Innovation Park Dr Ste 800
Fairfax, VA 22031-4867
Phone (571) 472-4600

Other practice location 3

8101 Hinson Farm Rd Ste 408
Alexandria, VA 22306-3409
Phone (703) 280-5858

Other practice location 4

8140 Ashton Ave Ste 125
Manassas, VA 20109-5700
Phone (703) 280-5858

Other practice location 5

1600 N Beauregard St Ste 150
Alexandria, VA 22311-1732
Phone (703) 280-5858

Other practice location 6

1800 N Beauregard St Ste 50
Alexandria, VA 22311-1735
Phone (703) 205-7330

Other practice location 7

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Other practice location 8

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other practice location 9

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

Other practice location 10

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

Other identifiers 15

IdentifierTypeStateIssuer
344428256OtherOHFRONTPATH
4202913OtherOHAETNA
4433600MedicaidMI
PH00102397OtherOHNATIONWIDE
000000250121OtherOHANTHEM
142215OtherOHCARE CHOICE
344428256036OtherOHHEALTHNET
7218526OtherOHCIGNA
344428256OtherOHEMERALD
344428256011OtherOHBWC
4433576MedicaidMI
000000250121OtherOHANHTEM MEDICAID
04225OtherOHPARMOUNT
0453254MedicaidOH
344428256OtherCABEECH STREET

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acomerota579566@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180508002500 DC Practitioner - Vascular SurgeryPractitioner - General Surgery 5496650384 Reassigns benefits to 1 organization
I20180523002328 VA Practitioner - General SurgeryPractitioner - Vascular Surgery 5496650384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101263955VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Inova Health Care Services CurrentSince May 1, 2018 Accepting new patients
Inova Health Care Services CurrentSince May 1, 2018 Accepting new patients
Inova Health Care Services CurrentSince May 1, 2018 Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

1800 N Beauregard St
Ste 50
Alexandria, VA 22311
Phone (703) 205-7330

8101 Hinson Farm Rd
Ste 408
Alexandria, VA 22306
Phone (703) 207-7007

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1600 N Beauregard St
Ste 150
Alexandria, VA 22311
Phone (571) 472-0080

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

8081 Innovation Park Dr
Ste 800
Fairfax, VA 22031
Phone (571) 472-4600

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

2921 Telestar Ct
Falls Church, VA 22042
Phone (703) 591-1280

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

8140 Ashton Ave
Ste 125
Manassas, VA 20109
Phone (571) 665-6550

Organizations & group practices 7

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.

{
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    "number": "1083610950",
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    "practiceLocations": [
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            "fax_number": "703-780-9077",
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        {
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            "postal_code": "223111735",
            "country_code": "US",
            "telephone_number": "703-205-7330",
            "fax_number": "703-205-7331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44045 Riverside Pkwy",
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            "state": "VA",
            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6000",
            "fax_number": "703-858-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
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            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "707-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Joseph Siewick Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331709",
            "country_code": "US",
            "telephone_number": "703-391-3600",
            "fax_number": "703-391-3414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Seminary Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041535",
            "country_code": "US",
            "telephone_number": "703-504-3000",
            "fax_number": "703-504-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMEROTA",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101263955",
            "primary": true
        }
    ],
    "identifiers": [
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            "issuer": "FRONTPATH",
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        {
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            "issuer": "AETNA",
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        {
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            "issuer": null,
            "identifier": "4433600",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE",
            "identifier": "PH00102397",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000250121",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICE",
            "identifier": "142215",
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        {
            "code": "01",
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        },
        {
            "code": "01",
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            "state": "OH"
        },
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            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "344428256011",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
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            "identifier": "4433576",
            "state": "MI"
        },
        {
            "code": "01",
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            "issuer": "ANHTEM MEDICAID",
            "identifier": "000000250121",
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        {
            "code": "01",
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            "issuer": "PARMOUNT",
            "identifier": "04225",
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            "state": "OH"
        },
        {
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            "issuer": "BEECH STREET",
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            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acomerota579566@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2921 Telestar Ct",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220421205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.