Active NPI
Alexander Ikechukwu Elebo, DNP, NP
- Nurse Practitioner
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024182214
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042-3307 - Phone
- (703) 776-3814
- Fax
- (703) 776-4028
- NPI assigned
- Sep 13, 2021
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024182214 | VA | Primary |
| Psychiatry Physician | 2084P0800X | 0024182214 | VA |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042-3307
Mailing address
4810 Kempair CT
Woodbridge, VA 22193-4631
Phone (571) 241-7876
Other practice location 1
9640 Burke Lake Rd
Burke, VA 22015-3022
Phone (703) 425-9765
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alexander.elebo@mfa.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024182214 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Psychiatry | Current | Accepting new patients |
Locations
9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200
8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Interoperability endpoints
- aelebo1092029@soc.inova.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Psychiatry
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477223311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 KEMPAIR CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221934631",
"telephone_number": "571-241-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "703-776-3814",
"fax_number": "703-776-4028"
}
],
"practiceLocations": [
{
"address_1": "9640 Burke Lake Rd",
"address_purpose": "LOCATION",
"city": "Burke",
"state": "VA",
"postal_code": "220153022",
"country_code": "US",
"telephone_number": "703-425-9765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELEBO",
"first_name": "ALEXANDER",
"middle_name": "IKECHUKWU",
"name_prefix": "Dr.",
"credential": "DNP, NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-13",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024182214",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0024182214",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alexander.elebo@mfa.net",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9640 Burke Lake Rd",
"city": "Burke",
"state": "VA",
"country_code": "US",
"postal_code": "220153022",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.