Individual provider Active NPI

Paul Joseph D'Amico, M.D.

  • Internal Medicine Physician
  • Dublin, VA
National Provider Identifier
1366415796
Registry record updated Oct 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101049536 Issued in VA
Practice address
5570 Cougar Trail Rd
Dublin, VA 24084-3849
Phone
(540) 674-4914
Fax
(540) 674-4917
NPI assigned
Feb 8, 2006
Last updated
Oct 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101049536 VA Primary

Addresses

Primary practice location

5570 Cougar Trail Rd
Dublin, VA 24084-3849

Mailing address

5570 Cougar Trail Rd
Dublin, VA 24084-3849
Phone (540) 674-4914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090724000376 VA Practitioner - Internal Medicine 0446346142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5570 Cougar Trail Rd
Dublin, VA 24084-3849
Phone (540) 674-4914

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New River Internal Medicine Inc Current Accepting new patients
Pulaski Internal Medicine, PC Internal Medicine CurrentSince Jul 15, 2009 Accepting new patients

Locations

4550 Lee Hwy
Ste B
Dublin, VA 24084
Phone (540) 674-4560

5570 Cougar Trail Rd
Dublin, VA 24084
Phone (540) 674-4914

1048 Terrace Dr
Marion, VA 24354
Phone (276) 477-4246

2460 Lee Hwy N
Ste 1
Pulaski, VA 24301
Phone (540) 980-8804

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698537600000",
    "number": "1366415796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 COUGAR TRAIL RD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843849",
            "telephone_number": "540-674-4914",
            "fax_number": "540-674-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 COUGAR TRAIL RD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843849",
            "telephone_number": "540-674-4914",
            "fax_number": "540-674-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101049536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

Verify at the official NPI Registry.