NPIMap

Organization Active NPI

Paskal

  • Internal Medicine Physician
  • Dumfries, VA
National Provider Identifier
1336583053
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101242641 Issued in VA
Legal business name
PASKAL
Practice address
17601 Harpers Ferry Dr
Dumfries, VA 22025-2029
Phone
(202) 821-3040
Fax
(855) 747-5544
NPI assigned
Apr 24, 2013
Last updated
Apr 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Petros A Ayele, MD
Title
Owner
Phone
(202) 821-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101242641 VA Primary

Addresses

Primary practice location

17601 Harpers Ferry Dr
Dumfries, VA 22025-2029

Mailing address

17601 Harpers Ferry Dr
Dumfries, VA 22025-2029
Phone (202) 821-3040

National Provider Directory

National Provider Directory

Locations

900 Virginia Ave
Alexandria, VA 22302
Phone (703) 684-9100

7120 Braddock Rd
Annandale, VA 22003
Phone (703) 256-9770

20 Pidgeon Hill Dr
Ste 103
Sterling, VA 20165
Phone (202) 821-3040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16907/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1336583053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17601 HARPERS FERRY DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252029",
            "telephone_number": "202-821-3040",
            "fax_number": "855-747-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 HARPERS FERRY DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252029",
            "telephone_number": "202-821-3040",
            "fax_number": "855-747-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASKAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "AYELE",
        "authorized_official_first_name": "PETROS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-821-3040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101242641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.