Active NPI
John Barton D'Alessandro, PA-C
- Physician Assistant
- Salem, VA
National Provider Identifier
1447238209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110840817
- Practice address
- 1900 Electric Rd
Salem, VA 24153-7474 - Phone
- (540) 776-4000
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0110840817 | VA | |
| Physician Assistant | 363A00000X | 0110840817 | VA | Primary |
Addresses
Primary practice location
1900 Electric Rd
Salem, VA 24153-7474
Mailing address
1900 Electric Rd
Salem, VA 24153-7474
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447238209 | Medicaid | VA | |
| 8939128 | Medicaid | VA | |
| 970007535 | Other | VA | RAILROAD MEDICARE |
| VA0117 | Other | VA | JOHN DEERE |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110840817 | VA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Past | Accepting new patients | |
| Braeburn Emergency Physicians LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Salem, VA
- NPI 1467888263
-
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1447238209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 ELECTRIC RD",
"city": "SALEM",
"state": "VA",
"postal_code": "241537474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 ELECTRIC RD",
"city": "SALEM",
"state": "VA",
"postal_code": "241537474",
"telephone_number": "540-776-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ALESSANDRO",
"first_name": "JOHN",
"middle_name": "BARTON",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "VA",
"license": "0110840817",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110840817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447238209",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8939128",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970007535",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "VA0117",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.