Paul Joseph D'Amico, M.D.
Individual provider Active NPI Internal Medicine Physician · Dublin, VA
NPI 1366415796 · NPPES record last updated Oct 29, 2023
Key facts
- NPI
- 1366415796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101049536 (VA)
- Practice address
- 5570 Cougar Trail Rd
Dublin, VA 24084-3849 - Phone
- (540) 674-4914
- Fax
- (540) 674-4917
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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
- Lewisgale Hospital Pulaski
- Carilion New River Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20090724000376 | VA | Practitioner - Internal Medicine | 0446346142 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New River Internal Medicine Inc | Current | Accepting new patients | |
| Pulaski Internal Medicine, PC | Internal Medicine | Current |
Accepting new patients |
Locations
5570 Cougar Trail Rd
Dublin, VA 24084
Phone (540) 674-4914
4550 Lee Hwy
Ste B
Dublin, VA 24084
Phone (540) 674-4560
1048 Terrace Dr
Marion, VA 24354
Phone (276) 477-4246
2460 Lee Hwy N
Ste 1
Pulaski, VA 24301
Phone (540) 980-8804
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101049536 | VA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528391117 | Medicaid | VA |
Other providers in Dublin, VA
- Childrens Choice, P.C.
- Thomas Joseph Ciappina
- Tracy J. Cohn
- Community Healthcare of Dublin LLC
- Mary Cox
- Dee James Danner
- Sherry Deeb
- Amy L Doty
- Dr Scott R Brandau Optometrist PC
- Dublin Family Practice PC
All providers in Dublin, VA · Internal 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 Oct 29, 2023. 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.