Active NPI
Mohammed Al-Dalli, M.D.
- Internal Medicine Physician
- McLean, VA
National Provider Identifier
1205960630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101055859
- Practice address
- 1749 Old Meadow Rd Ste 505
MC Lean, VA 22102-4325 - Phone
- (703) 356-2800
- Fax
- (703) 356-3407
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 1, 2021
- 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 | 0101055859 | VA | Primary |
Addresses
Primary practice location
1749 Old Meadow Rd Ste 505
MC Lean, VA 22102-4325
Mailing address
1749 Old Meadow Rd Ste 505
MC Lean, VA 22102-4325
Phone (703) 356-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5814669 | Medicaid | VA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100807000017 | DC | Practitioner - Internal Medicine | 8123151420 | Practice locations: MC Lean, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1749 Old Meadow Rd
Suite 505
MC Lean, VA 22102-4325
Phone (703) 356-2800
Hospital & facility affiliations
- Pavilion Medical Home Care & Staffing, LLC
- Horizons Healthcare Services LLC
- Virginia Hospital Center
- Inova Fairfax Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.62 of 100
- Quality
- 47.43
- Improvement activities
- 40
- Cost
- 82.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Nuclear Cardiology PLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Function Technologist
- Annandale, VA
- NPI 1467672212
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fairfax, VA
- NPI 1437587888
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- Home Health Agency
- Annandale, VA
- NPI 1376620120
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
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": "1625097600000",
"number": "1205960630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 OLD MEADOW RD STE 505",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024325",
"telephone_number": "703-356-2800",
"fax_number": "703-356-3407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 OLD MEADOW RD STE 505",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024325",
"telephone_number": "703-356-2800",
"fax_number": "703-356-3407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-DALLI",
"first_name": "MOHAMMED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101055859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5814669",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.