Active NPI
Antonio J. Eppolito, MD
- Family Medicine Physician
- Kirtland AFB, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-061878-L
- Practice address
- 2050 2ND St SE
Kirtland AFB, NM 87117-5522 - Phone
- (505) 853-0140
- NPI assigned
- Dec 23, 2005
- Last updated
- Jun 24, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-061878-L | PA | Primary |
Addresses
Primary practice location
2050 2ND St SE
Kirtland AFB, NM 87117-5522
Mailing address
2050 2ND St SE
Kirtland AFB, NM 87117-5522
Phone (505) 853-0140
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Rochester School of Medicine and Dentistry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N George Mason Dr
Arlington, VA 22205-3698
2800 S Shirlington Rd
Suite 600
Arlington, VA 22206-3608
Phone (703) 717-4245
764 23Rd St S
VHC Physician Group Primary Care
Arlington, VA 22202-2420
Phone (703) 717-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.33 of 100
- Quality
- 74.39
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 70.89
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.92 of 100
- Quality
- 87.54
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 77.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-061878-L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Family Medicine | Past | Accepting new patients |
Locations
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
764 23rd St S
Arlington, VA 22202
Phone (703) 717-7000
Interoperability endpoints
- aeppolito93336@direct.virginiahospitalcenter.net
Organizations & group practices 4
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 VHC Health Medical Group Maternal Fetal Medicine
- Maternal & Fetal Medicine Physician
- Arlington, VA
- NPI 1144415480
DC
-
dba VHC Health Medical Group Neurology
- Neurology Physician
- Arlington, VA
- NPI 1245010479
-
dba VHC Health Medical Group Urology
- Urology Physician
- Arlington, VA
- NPI 1639511504
-
dba VHC Health Medical Group Primary Care
- Internal Medicine Physician
- Arlington, VA
- NPI 1295176725
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1306823067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 2ND ST SE",
"city": "KIRTLAND AFB",
"state": "NM",
"postal_code": "871175522",
"telephone_number": "505-853-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 2ND ST SE",
"city": "KIRTLAND AFB",
"state": "NM",
"postal_code": "871175522",
"telephone_number": "505-853-0140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPOLITO",
"first_name": "ANTONIO",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD-061878-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirtland AFB, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.