Emergency Medicine Associates, P.a.,P.C.

Organization Active NPI Internal Medicine Physician · Dulles, VA

NPI 1376917070 · NPPES record last updated Dec 17, 2024

Key facts

NPI
1376917070
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
EMERGENCY MEDICINE ASSOCIATES, P.A.,P.C.
Practice address
24440 Stone Springs Boulevard
Dulles, VA 20166
Phone
(202) 574-6000
Fax
(202) 373-3739
NPI assigned
Nov 18, 2015
Organization subpart
No

Authorized official

Name
Jennifer Chastain
Title
Provider Enrollment
Phone
(330) 493-4443

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 1,889

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,889

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031208000283 VA Part B Supplier - Clinic/Group Practice 8022914522 Receives reassigned benefits from 1,597 practitioners
5 other NPIs on this enrollment
Practice locations: Charlottesville, VA; Ashland, VA; Suffolk, VA; South Boston, VA; Rockingham, VA; Richmond, VA; Portsmouth, VA; Petersburg, VA…

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X VA Yes

Addresses

Primary practice location

24440 Stone Springs Boulevard
Dulles, VA 20166

Mailing address

20010 Century Blvd Ste 200
Germantown, MD 20874-1118
Phone (240) 686-2320

Other providers in Dulles, VA

All providers in Dulles, VA · Internal Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.