Individual provider Active NPI

Carolyn J Dalldorf, MD

  • Internal Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1306892393
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101053791 Issued in VA
Practice address
1490 Pantops Mountain PL Ste 200
Charlottesville, VA 22911-4601
Phone
(434) 979-4440
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 0101053791 VA Primary

Addresses

Primary practice location

1490 Pantops Mountain PL Ste 200
Charlottesville, VA 22911-4601

Mailing address

1490 Pantops Mountain PL Ste 200
Charlottesville, VA 22911-4601
Phone (434) 979-4440

Other identifiers 5

IdentifierTypeStateIssuer
2124921OtherVAMAMSI
45314OtherVACOMMUNITY HEALTH
4939578OtherVACIGNA
207908OtherVASOUTHERN HEALTH
230701OtherVAANTHEM SVCS/HEALTHKEEPERS

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
I20080228000613 VA Practitioner - Internal Medicine 4587748538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1490 Pantops Mountain PL
Suite 200
Charlottesville, VA 22911-4601
Phone (434) 979-4440

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

  • Continuum Home Health Care Home health agency, Charlottesville, VA, CCN 497490
  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101053791VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 16, 2022 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Nov 16, 2022 Accepting new patients
Anchor Healthcare, PLC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Anchor Healthcare, PLC CurrentSince Jan 1, 2014 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

1562 Insurance Ln
Charlottesvle, VA 22911
Phone (434) 293-5548

1490 Pantops Mountain Pl
Ste 200
Charlottesvle, VA 22911
Phone (434) 227-7588

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: carolyn.dalldorf.1@8042.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1306892393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 PANTOPS MOUNTAIN PL STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114601",
            "telephone_number": "434-979-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 PANTOPS MOUNTAIN PL STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114601",
            "telephone_number": "434-979-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLDORF",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101053791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2124921",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH",
            "identifier": "45314",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4939578",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "207908",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SVCS/HEALTHKEEPERS",
            "identifier": "230701",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.