Dawit Ayalew, MD
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · Lorton, VA
NPI 1366025249 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1366025249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- 0101285511 (VA)
- Practice address
- 9010 Lorton Station Blvd Ste 270
Lorton, VA 22079-4798 - Phone
- (540) 898-6500
- Fax
- (540) 834-0363
- NPI assigned
- Apr 29, 2021
- Sex
- Male
- Sole proprietor
- No
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Virginia Commonwealth University, School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6524 Gildar St
Alexandria, VA 22310-2519
9010 Lorton Station Blvd
Suite 270
Lorton, VA 22079-4792
Hospital & facility affiliations
- Bon Secours St Francis Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221215000298 | PA | Order and Referring Only - Family Practice |
7416350566 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 0101285511 | VA | Yes |
Addresses
Primary practice location
9010 Lorton Station Blvd Ste 270
Lorton, VA 22079-4798
Mailing address
9010 Lorton Station Blvd Ste 270
Lorton, VA 22079-4798
Phone (540) 898-6500
Other practice location 1
4103 Lafayette Blvd Fl 2
Fredericksburg, VA 22408-4274
Phone (540) 898-6500
Other practice location 2
10304 Spotsylvania Ave Ste 410
Fredericksburg, VA 22408-8605
Phone (540) 898-6500
Other practice location 3
14085 Crown Ct
Woodbridge, VA 22193-1458
Phone (540) 898-6500
Other providers in Lorton, VA
- Ascent Homes, LLC
- Amaria Asghar
- Assefa Demewoz DDS PLLC
- Assurance Care Transportation
- Margaret Katherine Awad
- Rima Bachour
- Back in Motion Physical Therapy LLC
- Sarah Lee Baja
- Carl A Balmir
- Arlette Bamezon
All providers in Lorton, VA · Sports Medicine (Family Medicine) Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.