Individual provider Active NPI

Tessa M Cholmondeley, MD

  • Internal Medicine Physician
  • Reston, VA
National Provider Identifier
1124132873
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101046941 Issued in VA
Practice address
1830 Town Center Dr Ste 207
Reston, VA 20190-3236
Phone
(703) 435-2227
Fax
(703) 435-7856
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101046941 VA Primary

Addresses

Primary practice location

1830 Town Center Dr Ste 207
Reston, VA 20190-3236

Mailing address

1830 Town Center Dr Ste 207
Reston, VA 20190-3236
Phone (703) 435-2227

Other identifiers 1

IdentifierTypeStateIssuer
006080197MedicaidVA

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
I20101102001286 DC Practitioner - Internal Medicine 9133287543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Connecticut School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1830 Town Ctr Dr
Suite 207
Reston, VA 20190-3236
Phone (703) 435-2227

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101046941VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tessa Cholmondeley MD PC Internal Medicine CurrentSince Jul 18, 2017 Accepting new patients

Locations

1830 Town Center Dr
Ste 207
Reston, VA 20190
Phone (703) 435-2227

1800 Town Center Dr
Ste 212
Reston, VA 20190
Phone (703) 435-2227

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.

Hospital & facility affiliations 1

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1124132873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR STE 207",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903236",
            "telephone_number": "703-435-2227",
            "fax_number": "703-435-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR STE 207",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903236",
            "telephone_number": "703-435-2227",
            "fax_number": "703-435-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOLMONDELEY",
        "first_name": "TESSA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101046941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006080197",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.