Individual provider Active NPI

Mark H Dicocco, DO

  • Internal Medicine Physician
  • Montpelier, VA
National Provider Identifier
1245299957
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102201376 Issued in VA
Practice address
16618 Mountain Rd
Suite B
Montpelier, VA 23192-2649
Phone
(804) 883-0552
Fax
(804) 883-0054
NPI assigned
Mar 21, 2006
Last updated
Oct 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102201376 VA Primary

Addresses

Primary practice location

16618 Mountain Rd
Suite B
Montpelier, VA 23192-2649

Mailing address

330 Pembroke LN
Richmond, VA 23238-6221
Phone (804) 672-4839

Other identifiers 1

IdentifierTypeStateIssuer
1043523087OtherVAGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000227 VA Practitioner - Internal Medicine 6406950609 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102201376VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisonburg Community Health Center Inc CurrentSince Sep 6, 2022 Accepting new patients
Harrisonburg Community Health Center CurrentSince Sep 6, 2022 Accepting new patients
Harrisonburg Community Health Center CurrentSince Sep 6, 2022 Accepting new patients
Pratt Medical Center LTD Past Accepting new patients
Care Now Inc Internal Medicine Past Accepting new patients
Pratt Medical Center LTD Internal Medicine Past Accepting new patients
John Randolph Family Practice LLC Past Accepting new patients
Commonwealth Internal Medicine & Geriatrics PC Past Accepting new patients

Locations

800 Shenandoah Ave
#170
Elkton, VA 22827
Phone (540) 298-9900

1380 Little Sorrell Dr
Ste 100
Harrisonburg, VA 22801
Phone (540) 433-4913

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2921/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1245299957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PEMBROKE LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232386221",
            "telephone_number": "804-672-4839",
            "fax_number": "804-213-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16618 MOUNTAIN RD",
            "address_2": "SUITE B",
            "city": "MONTPELIER",
            "state": "VA",
            "postal_code": "231922649",
            "telephone_number": "804-883-0552",
            "fax_number": "804-883-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICOCCO",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102201376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1043523087",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VA

Sources for this page

Verify at the official NPI Registry.