Active NPI
Segundo Antonio Morillo, MD
- General Practice Physician
- Falls Church, VA
National Provider Identifier
1194915488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 41150
- Practice address
- 5669 Columbia Pike
Falls Church, VA 22041 - Phone
- (703) 575-9555
- Fax
- (703) 575-9112
- NPI assigned
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 41150 | VA | Primary |
Addresses
Primary practice location
5669 Columbia Pike
Falls Church, VA 22041
Mailing address
5669 Columbia Pike
Falls Church, VA 22041
Phone (703) 575-9555
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 |
|---|---|---|---|
| 41150 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1194915488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5669 COLUMBIA PIKE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22041",
"telephone_number": "703-575-9555",
"fax_number": "703-575-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5669 COLUMBIA PIKE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22041",
"telephone_number": "703-575-9555",
"fax_number": "703-575-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORILLO",
"first_name": "SEGUNDO",
"middle_name": "ANTONIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "41150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.