Samuel Dogbey, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110005680 Issued in VA

Practice address

1990 Old Bridge Rd Ste 201
Woodbridge, VA 22192-2383

Phone

(703) 492-6822

NPI assigned

Nov 9, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

University of Virginia School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James River Cardiology, LLCGroup PAC ID 0941499594, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

Merit-based Incentive Payment System (MIPS)

Final score

89.95 of 100Reported as group

Quality

93.11

Promoting interoperability

100

Improvement activities

40

Cost

73.41

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.dogbey.1@31267.direct.athenahealth.com

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.

• James River Cardiology, LLC

  • Cardiovascular Disease Physician
  • Colonial Heights, VA
  • NPI 1407157647

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Potomac Hospital Corporation of Prince William

  • General Acute Care Hospital
  • Woodbridge, VA
  • NPI 1548366404
  Care Compare affiliation

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1356854541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 OLD BRIDGE RD STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922383",
            "telephone_number": "703-492-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 OLD BRIDGE RD STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922383",
            "telephone_number": "703-492-6822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 Old Bridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221922383",
            "country_code": "US",
            "telephone_number": "703-492-6822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 Garrisonville Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541573",
            "country_code": "US",
            "telephone_number": "540-628-2173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOGBEY",
        "first_name": "SAMUEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110005680",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin DO
• Thao Phuong Doan, D.D.S.
• Yolunda G Dockett, OTD, OTR/L
• Lovelace Doffour
• Andranita Dogan, MS, LPC, NCC, CCMHC
• Dominion Cardiac Care PC
• Dominion Community Integration Services Inc.
• Chardonee Donald, CHN, CNS
• Graham Todd Dondlinger, M.D.
• Kennedy O Donkor, PHARMD

• Physician Assistant in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.

Verify at the official NPI Registry.