NPIMap

Individual provider Active NPI

Alazar Woldegorgis, MD

  • Internal Medicine Physician
  • Winchester, VA
National Provider Identifier
1477074995
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101269436 Issued in VA
Practice address
1870 Amherst St
Winchester, VA 22601-2873
Phone
(540) 536-8000
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2017023366 MO
Internal Medicine Physician 207R00000X 0101269436 VA Primary

Addresses

Primary practice location

1870 Amherst St
Winchester, VA 22601-2873

Mailing address

1870 Amherst St
Winchester, VA 22601-2873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201012000010 VA Practitioner - Internal Medicine 2769752765 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours St Marys Hospital of Richmond LLCGroup PAC ID 8527969476, 66 clinicians

Practice addresses (Care Compare)

5855 Bremo Rd
Suite 306
Richmond, VA 23226-1923
Phone (804) 287-7650

9220 Forest Hill Ave
Suite A1
Richmond, VA 23235-6800
Phone (804) 560-8838

Hospital & facility affiliations

  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017023366MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Jul 7, 2021 Accepting new patients
Bon Secours St. Mary'S Hospital of Richmond LLC Current Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Bon Secours St Mary'S Hospital of Richmond LLC Internal Medicine CurrentSince Jul 7, 2021 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

9220 Forest Hill Ave
Ste A1
Richmond, VA 23235
Phone (804) 560-8838

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1477074995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012873",
            "telephone_number": "540-536-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDEGORGIS",
        "first_name": "ALAZAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2017023366",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101269436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.