Active NPI
James Michael Thiel, MD, MPH
- Internal Medicine Physician
- Alexandria, VA
National Provider Identifier
1174657076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101033903
- Practice address
- 3002 Cunningham Dr
Alexandria, VA 22309-2207 - Phone
- (703) 489-0289
- Fax
- (703) 799-2183
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 0101033903 | VA | Primary |
Addresses
Primary practice location
3002 Cunningham Dr
Alexandria, VA 22309-2207
Mailing address
3002 Cunningham Dr
Alexandria, VA 22309-2207
Phone (703) 489-0289
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101033903 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of South Dakota PC | Current | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Sioux Falls, SD
- NPI 1811381817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174657076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 CUNNINGHAM DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223092207",
"telephone_number": "703-489-0289",
"fax_number": "703-799-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 CUNNINGHAM DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223092207",
"telephone_number": "703-489-0289",
"fax_number": "703-799-2183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEL",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101033903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
- Therapeutic Alliance Home Health Services,Inc
- Therapeutic Employee Solutions, LLC
- Therapeutic Milestonez LLC
- Therapeutic Skills LLC
- Therapeutic Solutions Consulting
- Melissa Joy Thiel, M.D.
- Thomas C. Roberts, Jr., DMD, PC
- Thomas Procedural Medicine PLLC
- Alice Thomas, PH.D
- Carole McKneely Thomas, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.