Individual provider Active NPI

Jeffrey A Welgoss, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Annandale, VA
National Provider Identifier
1194750414
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
0101057812 Issued in VA
Practice address
3289 Woodburn Rd
Suite 130
Annandale, VA 22003-6800
Phone
(571) 389-7140
Fax
(703) 992-7584
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101057812 VA
Gynecology Physician 207VG0400X 0101057812 VA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 0101057812 VA Primary

Addresses

Primary practice location

3289 Woodburn Rd
Suite 130
Annandale, VA 22003-6800

Mailing address

3289 Woodburn Rd
Suite 130
Annandale, VA 22003-6800
Phone (571) 389-7140

Other identifiers 1

IdentifierTypeStateIssuer
001775YPA1OtherVAMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110104000487 DC Practitioner - Obstetrics/Gynecology 7214839752 Reassigns benefits to 2 organizations
I20111003000260 MD Practitioner - Obstetrics/Gynecology 7214839752 Reassigns benefits to 2 organizations
I20150305000298 VA Practitioner - Obstetrics/Gynecology 7214839752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, shared by 24 NPIs, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101057812VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jun 20, 2022 Accepting new patients
Inova Health Care Services CurrentSince Jun 20, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 12, 2014 Accepting new patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Oct 12, 2014 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology CurrentSince May 28, 2024 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

5051 Greenspring Ave
Ste 304
Baltimore, MD 21209
Phone (410) 367-2590

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

110 Hospital Rd
Ste 203
Prnc Frederck, MD 20678
Phone (410) 414-4740

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

3289 Woodburn Rd
Ste 320
Annandale, VA 22003
Phone (703) 698-7100

3289 Woodburn Rd
Ste 130
Annandale, VA 22003
Phone (571) 389-7140

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

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: jwelgoss26440@soc.inova.org

Organizations & group practices 5

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 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1194750414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD",
            "address_2": "SUITE 130",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036800",
            "telephone_number": "571-389-7140",
            "fax_number": "703-992-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD",
            "address_2": "SUITE 130",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036800",
            "telephone_number": "571-389-7140",
            "fax_number": "703-992-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELGOSS",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101057812",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101057812",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "VA",
            "license": "0101057812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "001775YPA1",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.