Active NPI
Paul C Domson, MD
- Anesthesiology Physician
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101054357
- Practice address
- 1850 Town Center Parkway
Reston Hospital Center
Reston, VA 20190 - Phone
- (703) 471-0919
- Fax
- (703) 742-9081
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101054357 | VA | Primary |
Addresses
Primary practice location
1850 Town Center Parkway
Reston Hospital Center
Reston, VA 20190
Mailing address
PO Box 2757
Reston, VA 20195
Phone (703) 471-0919
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050082174 | Other | RAILROAD MEDICARE | |
| 173386 | Other | ANTHEM | |
| 005717213 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000
Hospital & facility affiliations
- Reston Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101054357 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonesprings Anesthesia Associates, LTD | Anesthesiology | Current | Accepting new patients |
| Reston Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| Outpatient Anesthesia Services of Reston, LTD | Anesthesiology | Current | Accepting new patients |
| Winchester Anesthesiologists Inc | Anesthesiology | Past | Accepting new patients |
Locations
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400
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.
-
- Anesthesiology Physician
- Dulles, VA
- NPI 1255718235
-
- Anesthesiology Physician
- Winchester, VA
- NPI 1700841137
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1346228178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2757",
"city": "RESTON",
"state": "VA",
"postal_code": "20195",
"telephone_number": "703-471-0919",
"fax_number": "703-742-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PARKWAY",
"address_2": "RESTON HOSPITAL CENTER",
"city": "RESTON",
"state": "VA",
"postal_code": "20190",
"telephone_number": "703-471-0919",
"fax_number": "703-742-9081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMSON",
"first_name": "PAUL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101054357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050082174",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "173386",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005717213",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.