Active NPI
Mark H Dicocco, DO
- Internal Medicine Physician
- Montpelier, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102201376
- 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, 2010
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043523087 | Other | VA | GROUP 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102201376 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrisonburg Community Health Center Inc | Current | Accepting new patients | |
| Harrisonburg Community Health Center | Current | Accepting new patients | |
| Harrisonburg Community Health Center | Current | 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
- 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.
-
dba Community Health Center of Elkton
- Federally Qualified Health Center (FQHC)
- Elkton, VA
- NPI 1750827523
-
- Federally Qualified Health Center (FQHC)
- Harrisonburg, VA
- NPI 1871775882
-
dba HCHC Downtown
- Federally Qualified Health Center (FQHC)
- Harrisonburg, VA
- NPI 1619700150
-
- Internal Medicine Physician
- Montpelier, VA
- NPI 1043523087
-
- Geriatric Medicine (Internal Medicine) Physician
- Montpelier, VA
- NPI 1750340709
-
dba Chester Medical Group, LLC
- Family Medicine Physician
- Chester, VA
- NPI 1659330843
-
dba Pratt Healthcare Laboratory
- Clinical Medical Laboratory
- Fredericksburg, VA
- NPI 1003840950
-
dba Pratt Healthcare
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1316973555
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.