Active NPI
Carolyn J Dalldorf, MD
- Internal Medicine Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101053791
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2124921 | Other | VA | MAMSI |
| 45314 | Other | VA | COMMUNITY HEALTH |
| 4939578 | Other | VA | CIGNA |
| 207908 | Other | VA | SOUTHERN HEALTH |
| 230701 | Other | VA | ANTHEM 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
Enrollment records 1
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
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
- Sentara Martha Jefferson Hospital
- Sentara RMH Medical Center
- University of Virginia Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101053791 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Anchor Healthcare, PLC | Internal Medicine | Current | Accepting new patients |
| Anchor Healthcare, PLC | Current | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1689301590
Internal Medicine
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1790116309
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
-
- Home Health Agency
- Charlottesville, VA
- NPI 1265472286
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.