Alexandria Adult Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101057481 Issued in VA

Legal business name

ALEXANDRIA ADULT PRIMARY CARE LLC

Practice address

5249 Duke St
Ste 100D
Alexandria, VA 22304-2926

Phone

(703) 212-4825

Fax

(703) 212-4829

NPI assigned

Dec 17, 2007

Last updated

Sep 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kantha R Stoll, M.D.NPI 1861436958

Title

Owner/Physician

Phone

(703) 212-4825

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kantha Rajyashree Stoll, M.D.

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1861436958
  Authorized official Same address or phone

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1184807869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST",
            "address_2": "STE 100D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042926",
            "telephone_number": "703-212-4825",
            "fax_number": "703-212-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST",
            "address_2": "STE 100D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042926",
            "telephone_number": "703-212-4825",
            "fax_number": "703-212-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA ADULT PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "KANTHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "703-212-4825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101057481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D10147191",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgana Alexander
• Myrna B. Alexander, ED.D., LPC,LMFT,NCC,
• Patrick Alexandre
• Alexandria Billing LLC
• Alexandria Adolescent and Adult Therapy, Inc.
• Alexandria Advanced Dentistry
• Alexandria Anesthesia Assoc, PLLC
• Alexandria Art Therapy, LLC
• Alexandria Associates in Dermatology, PC (Associates in Dermatology)
• Alexandria Audiology LLC (Sonus Sf000201)

• Internal Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.