Individual provider Active NPI

Jorge Augusto Ramallo, M.D.

  • Internal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1215354360
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101272204 Issued in VA
Practice address
4700 King St Ste 100
Alexandria, VA 22302-4420
Phone
(571) 665-6610
Fax
(571) 665-6611
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101272204 VA
Pediatrics Physician 208000000X 29618 WI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 69618 WI
Internal Medicine Physician 207R00000X 0101272204 VA Primary

Addresses

Primary practice location

4700 King St Ste 100
Alexandria, VA 22302-4420

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

2906 S 20th St
Milwaukee, WI 53215
Phone (414) 672-1353

Other identifiers 1

IdentifierTypeStateIssuer
1215354360MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jramallo976487@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, DC, 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
I20180919002192 WI Practitioner - Internal Medicine 6002117405 Reassigns benefits to 1 organization
I20211124000626 DC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6002117405 Reassigns benefits to 1 organization
I20211124001267 VA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6002117405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Yale University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

500 N Washington St
Falls Church, VA 22046-3514

8051 Sudley Rd
Manassas, VA 20109-8001
Phone (571) 598-3851

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101272204VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sixteenth Street Community Health Centers, Inc. Multi-Specialty CurrentSince Aug 31, 2018 Accepting new patients
Sixteenth Street Community Health Centers, Inc. Multi-Specialty CurrentSince Aug 31, 2018 Accepting new patients
Inova Health Care Services Multi-Specialty CurrentSince Nov 15, 2021 Accepting new patients
Inova Health Care Services Multi-Specialty CurrentSince Nov 15, 2021 Accepting new patients
16TH Street Community Health Center Inc. Multi-Specialty Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4700 King St
Ste 100
Alexandria, VA 22302
Phone (571) 665-6570

3800 Fettler Park Dr
Ste 301
Dumfries, VA 22025
Phone (703) 221-8860

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

500 N Washington St
Ste 200
Falls Church, VA 22046
Phone (703) 522-1175

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

8051 Sudley Rd
Manassas, VA 20109
Phone (571) 598-3851

8001 Forbes Pl
Ste 200
Springfield, VA 22151
Phone (703) 321-2502

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204

4570 S 27th St
Milwaukee, WI 53221
Phone (414) 325-8720

1337 S Cesar E Chavez Dr
Milwaukee, WI 53204
Phone (414) 672-1354

2906 S 20th St
Milwaukee, WI 53215
Phone (414) 385-8800

Interoperability endpoints

  • Direct secure messaging: jorge.ramallo@217526021193732.direct.elationemr.com
  • Direct secure messaging: jramallo976487@soc.inova.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1215354360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 KING ST STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223024420",
            "telephone_number": "571-665-6610",
            "fax_number": "571-665-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2906 S 20th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53215",
            "country_code": "US",
            "telephone_number": "414-672-1353",
            "fax_number": "414-672-1353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMALLO",
        "first_name": "JORGE",
        "middle_name": "AUGUSTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101272204",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "29618",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "69618",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101272204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215354360",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jramallo976487@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4700 King St Ste 100",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223024420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.