Individual provider Active NPI

David Fallavollita, DNAP

  • Certified Registered Nurse Anesthetist
  • Mechanicsville, VA
National Provider Identifier
1225785744
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024186496 Issued in VA
Practice address
7277 Jackson Ave
Mechanicsville, VA 23111-1739
Phone
(703) 309-8422
NPI assigned
Mar 4, 2022
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024186496 VA Primary
Registered Nurse 163W00000X 0001267539 VA

Addresses

Primary practice location

7277 Jackson Ave
Mechanicsville, VA 23111-1739

Mailing address

249 Northumberland Dr
Stephenson, VA 22656-1999
Phone (703) 309-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230601001676 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800253147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Anesthesia Services, LLCGroup PAC ID 3678002565, 124 clinicians

Practice addresses (Care Compare)

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001267539VAMDRegistered Nurse
0024186496VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Anesthesia Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
Winchester Anesthesiologists Inc CurrentSince Mar 30, 2023 Accepting new patients

Locations

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990

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.

Hospital & facility affiliations 2

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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1225785744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 NORTHUMBERLAND DR",
            "city": "STEPHENSON",
            "state": "VA",
            "postal_code": "226561999",
            "telephone_number": "703-309-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 JACKSON AVE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111739",
            "telephone_number": "703-309-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAVOLLITA",
        "first_name": "DAVID",
        "credential": "DNAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-04",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024186496",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001267539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.