Individual provider Active NPI

Dawit Ayalew, MD

  • Sports Medicine (Family Medicine) Physician
  • Lorton, VA
National Provider Identifier
1366025249
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
0101285511 Issued in 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
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 0101285511 VA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221215000298 PA Order and Referring Only - Family PracticePractitioner - Family Practice 7416350566

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101285511VAMDSports Medicine (Family Medicine) Physician

Hospital & facility affiliations 11

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1366025249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 270",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794798",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 270",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794798",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4103 Lafayette Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224084274",
            "country_code": "US",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10304 Spotsylvania Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224088605",
            "country_code": "US",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14085 Crown Ct",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221931458",
            "country_code": "US",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALEW",
        "first_name": "DAWIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "VA",
            "license": "0101285511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

Verify at the official NPI Registry.