Philip J. O'Donnell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101043748 Issued in VA

Practice address

513 W Broad St
Unit 100
Falls Church, VA 22046-3248

Phone

(703) 940-0000

Fax

(703) 782-0207

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DC, NC2 enrollments

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 2

Specialty

Internal Medicine

Education

Georgetown University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forsyth Medical Group, LLCGroup PAC ID 3678478054, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28788/brand/1/csg/1/fhir/r4
• Direct secure messaging: philip.o.donnell.1@27575.direct.athenahealth.com
• Direct secure messaging: philip.o.donnell.1@28788.direct.athenahealth.com

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

• Forsyth Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Hendersonville, NC
  • NPI 1750081378

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Forsyth Medical Group LLC

  • Otolaryngology Physician
  • Monroe, NC
  • NPI 1710866405
  NPD
• Primedocs PC

  • Family Medicine Physician
  • Falls Church, VA
  • NPI 1255035929
  NPD (past)
• Forsyth Memorial Hospital Inc

  • Cardiovascular Disease Physician
  • Winston Salem, NC
  • NPI 1114200771
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1396706206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 W BROAD ST",
            "address_2": "UNIT 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463248",
            "telephone_number": "703-940-0000",
            "fax_number": "703-782-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W BROAD ST",
            "address_2": "UNIT 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463248",
            "telephone_number": "703-940-0000",
            "fax_number": "703-782-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "PHILIP",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101043748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC #",
            "identifier": "0101043748",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR PCA GRP PTAN",
            "identifier": "G02788",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND PTAN",
            "identifier": "G02788P01",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn A O'Connell, CPNP
• Christopher O'Connor
• Cormac O'Connor, M.D.
• Haley O'Connor, M.S.O.T., O.T.R.L.
• Mary Beck O'Donnell, M.D.
• James R. O'Hara, PA
• Tessa O'Hara, PT, DPT
• Lindsey Mica O'Hearn
• Madelyn O'Leary, PA-C
• Amy Suzanne O'Malley, P.T.

• Internal Medicine Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.