Individual provider Active NPI

Dina Gottesman, M.D.

  • Pediatrics Physician
  • South Riding, VA
National Provider Identifier
1316150881
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101245024 Issued in VA
Practice address
25055 Riding Plaza
Suite 150
South Riding, VA 20152
Phone
(703) 327-0075
Fax
(703) 327-7977
NPI assigned
May 8, 2007
Last updated
Feb 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X AU2866626-U061 OH
Pediatrics Physician 208000000X 0101245024 VA Primary

Addresses

Primary practice location

25055 Riding Plaza
Suite 150
South Riding, VA 20152

Mailing address

25055 Riding Plaza
Suite 150
South Riding, VA 20152
Phone (703) 327-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AU2866626-U061OHMDPediatrics Physician
0101245024VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of the Mid-Atlantic PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dina.gottesman@tdsr.eclinicaldirectplus.com

Organizations & group practices 1

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1316150881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLAZA",
            "address_2": "SUITE 150",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "20152",
            "telephone_number": "703-327-0075",
            "fax_number": "703-327-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLAZA",
            "address_2": "SUITE 150",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "20152",
            "telephone_number": "703-327-0075",
            "fax_number": "703-327-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTESMAN",
        "first_name": "DINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "AU2866626-U061",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101245024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Riding, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.