Andres Alisuag Jr., M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101029889 Issued in VA

Practice address

9001 Digges Road
Suite 101
Manassas, VA 20110-4414

Phone

(703) 369-7744

Fax

(703) 369-5097

NPI assigned

Aug 24, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andres.alisuag.1@18665.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11138/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/3238/brand/1/csg/1/fhir/r4

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.

• Potomac Hospital Corporation of Prince William

  • General Acute Care Hospital
  • Woodbridge, VA
  • NPI 1548366404
  NPD
• Dominion Cardiovascular Associates, P.C.

  • Cardiovascular Disease Physician
  • Lake Ridge, VA
  • NPI 1619236304
  NPD (past)
• Hospitalist Medicine Physicians of Virginia LLC

  • Internal Medicine Physician
  • Winchester, VA
  • NPI 1770756991
  NPD (past)
• Valley Health Clinic Inc

  • Primary Care Clinic/Center
  • Manassas, VA
  • NPI 1912065863
  NPD (past)
• Woodbridge Cardiovascular Center

  • Clinical Medical Laboratory
  • Woodbridge, VA
  • NPI 1932479516
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367712000000",
    "number": "1417064759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 DIGGES ROAD",
            "address_2": "SUITE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104414",
            "telephone_number": "703-369-7744",
            "fax_number": "703-369-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 DIGGES ROAD",
            "address_2": "SUITE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104414",
            "telephone_number": "703-369-7744",
            "fax_number": "703-369-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALISUAG",
        "first_name": "ANDRES",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101029889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "003860",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006079253",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hadeel Alfaysale
• Marilyn Renee Alger, CD(DONA)
• Mohammed Shoeb Ali, PHARMD
• Abdullah Alimam
• Lana Alimam
• All About Marketing LLC
• All Inclusive Crownd Beauty
• All of You Counseling, P.C.
• All Star Home Health Care Group, LLC
• Eric F Allee, MD

• Cardiovascular Disease Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.