Individual provider Active NPI

Renato Doctor Daing, MD

  • Pediatric Adolescent Medicine Physician
  • Alexandria, VA
National Provider Identifier
1326199837
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
0101233629 Issued in VA
Practice address
2616 Sherwood Hall LN
Suite 404
Alexandria, VA 22306-3100
Phone
(703) 360-0300
Fax
(703) 799-7074
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 0101233629 VA Primary

Addresses

Primary practice location

2616 Sherwood Hall LN
Suite 404
Alexandria, VA 22306-3100

Mailing address

2616 Sherwood Hall LN
Suite 404
Alexandria, VA 22306-3100
Phone (703) 360-0300

Other identifiers 3

IdentifierTypeStateIssuer
010039916MedicaidVA
283728OtherVAAMERIGROUP
188622OtherVAANTHEM HEALTHKEEPERS PLUS

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
I20171023001684 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6709932601

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nora D. Jose, MD Adolescent Medicine Past Accepting new patients
Greater Prince William Area Community Health Center Inc Past Accepting new patients
Ignaz P Jarbadan MD PC PastSince Nov 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: renato.daing@gpwchc.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326199837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE 404",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-360-0300",
            "fax_number": "703-799-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE 404",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-360-0300",
            "fax_number": "703-799-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAING",
        "first_name": "RENATO",
        "middle_name": "DOCTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101233629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010039916",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "283728",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS PLUS",
            "identifier": "188622",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.