Individual provider Active NPI

Jonathan M Dort, MD

  • Surgery Physician
  • Fairfax, VA
National Provider Identifier
1447257209
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101245506 Issued in VA
Practice address
8260 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4528
Phone
(571) 472-4670
Fax
(571) 665-6798
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0427231 KS
Surgery Physician 208600000X 0101245506 VA Primary

Addresses

Primary practice location

8260 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4528

Mailing address

3300 Gallows Rd
Falls Church, VA 22042-3300
Phone (703) 776-4001

Other practice location 1

3300 Gallows Rd Ste 200
Falls Church, VA 22042-3300
Phone (703) 776-4001

Other identifiers 1

IdentifierTypeStateIssuer
100294940AMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdort28136@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20090625000308 VA Practitioner - General Surgery 0143295634 Reassigns benefits to 1 organization
I20110505000101 DC Practitioner - General Surgery 0143295634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Miami, LM Miller School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 237-3446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0427231KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince May 16, 2011 Accepting new patients
Inova Health Care Services CurrentSince May 16, 2011 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Wichita Surgical Specialists PA Surgery PastSince Jan 1, 1995 Accepting new patients
Preferred Medical Associates PastSince Apr 6, 2009 Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

7617 Little River Tpke
Ste 600
Annandale, VA 22003
Phone (703) 256-5680

8260 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (571) 472-4670

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

3300 Gallows Rd
Ste 200
Falls Church, VA 22042

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
  • Direct secure messaging: jdort28136@soc.inova.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1447257209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423300",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 WILLOW OAKS CORPORATE DR STE 600",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314528",
            "telephone_number": "571-472-4670",
            "fax_number": "571-665-6798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423300",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORT",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0427231",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101245506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100294940A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdort28136@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3300 Gallows Rd",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220423300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.