Individual provider Active NPI

Brian Gioielli, NP

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1417568973
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179824 Issued in VA
Practice address
3833 Fairfax Dr Ste 200
Arlington, VA 22203-1773
Phone
(703) 525-8863
Fax
(571) 748-4257
NPI assigned
Aug 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X R238285 MD
Family Nurse Practitioner 363LF0000X 0024179824 VA Primary

Addresses

Primary practice location

3833 Fairfax Dr Ste 200
Arlington, VA 22203-1773

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

6710 Oxon Hill Rd Ste 200B
Oxon Hill, MD 20745-1124
Phone (301) 292-7270

Other practice location 2

2200 Defense Hwy Ste 103
Crofton, MD 21114-2458
Phone (410) 721-5280 ext. 25111

Other practice location 3

950 E Swan Creek Rd
Fort Washington, MD 20744-5250
Phone (301) 292-7270

Other identifiers 1

IdentifierTypeStateIssuer
205283100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201222000097 MD Practitioner - Nurse Practitioner 6507278231
I20210126000830 DC Practitioner - Nurse Practitioner 6507278231 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024179824VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Multi-Specialty CurrentSince Sep 19, 2022 Accepting new patients
Inova Physician Partners, Inc. - Specialists Multi-Specialty PastSince Oct 2, 2022 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Past Accepting new patients

Locations

3833 Fairfax Dr
Ste 200
Arlington, VA 22203
Phone (703) 525-8863

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

3022 Williams Dr
Ste 300
Fairfax, VA 22031
Phone (703) 573-9800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1417568973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 FAIRFAX DR STE 200",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031773",
            "telephone_number": "703-525-8863",
            "fax_number": "571-748-4257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6710 Oxon Hill Rd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207451124",
            "country_code": "US",
            "telephone_number": "301-292-7270",
            "fax_number": "301-203-0740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Defense Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "MD",
            "postal_code": "211142458",
            "country_code": "US",
            "telephone_number": "410-721-5280 x25111",
            "fax_number": "410-721-2243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 E Swan Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207445250",
            "country_code": "US",
            "telephone_number": "301-292-7270",
            "fax_number": "301-203-0740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIOIELLI",
        "first_name": "BRIAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R238285",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205283100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.