Active NPI
Jose Maria Dossola, MD
- Internal Medicine Physician
- Alexandria, VA
National Provider Identifier
1407951874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101024558
- Practice address
- 5272 Dawes Ave
Alexandria, VA 22311-1404 - Phone
- (703) 931-6900
- Fax
- (703) 931-3627
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101024558 | VA | Primary |
Addresses
Primary practice location
5272 Dawes Ave
Alexandria, VA 22311-1404
Mailing address
5272 Dawes Ave
Alexandria, VA 22311-1404
Phone (703) 931-6900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VA 005681367 | Medicaid | VA | |
| 80060 | Other | MAMSI/ALLIANCE | |
| 1426474007 | Other | CIGNA HEALTHCARE | |
| 0490285 | Other | AETNA HMO | |
| 4087840 | Other | AETNA PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101024558 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Behavioral Health - St Elizabeths Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1407951874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5272 DAWES AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111404",
"telephone_number": "703-931-6900",
"fax_number": "703-931-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5272 DAWES AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111404",
"telephone_number": "703-931-6900",
"fax_number": "703-931-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSSOLA",
"first_name": "JOSE",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101024558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VA 005681367",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/ALLIANCE",
"identifier": "80060",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "1426474007",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0490285",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4087840",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.