Individual provider Active NPI

Albert Coo, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Alexandria, VA
National Provider Identifier
1336160837
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101041845 Issued in VA
Practice address
6300 Stevenson Ave
Suite D
Alexandria, VA 22304-3576
Phone
(703) 823-9570
Fax
(703) 823-9573
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101041845 VA Primary

Addresses

Primary practice location

6300 Stevenson Ave
Suite D
Alexandria, VA 22304-3576

Mailing address

6300 Stevenson Ave
Suite D
Alexandria, VA 22304-3576
Phone (703) 823-9570

Other identifiers 1

IdentifierTypeStateIssuer
6004938MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091105000294 DC Practitioner - EndocrinologyPractitioner - Internal Medicine 3870631229 Reassigns benefits to 1 organization
I20140625002386 VA Practitioner - Internal MedicinePractitioner - Endocrinology 3870631229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1983
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)

6300 Stevenson Ave D
Alexandria, VA 22304-3554
Phone (703) 823-9570

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

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

Hospital & facility affiliations

  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Dec 22, 2013 Accepting new patients
Privia Medical Group, LLC Endocrinology, Diabetes & Metabolism CurrentSince Dec 22, 2013 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6300 Stevenson Ave
Ste D
Alexandria, VA 22304
Phone (703) 212-8750

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: albert.coomd.p2@direct.msmg.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: albert.coo.1@8042.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336160837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STEVENSON AVE",
            "address_2": "SUITE D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043576",
            "telephone_number": "703-823-9570",
            "fax_number": "703-823-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STEVENSON AVE",
            "address_2": "SUITE D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043576",
            "telephone_number": "703-823-9570",
            "fax_number": "703-823-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COO",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101041845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004938",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.