Active NPI
Loreto P Virtudes, MD
- Internal Medicine Physician
- Dumfries, VA
National Provider Identifier
1487663407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101045677
- Practice address
- 3783 Fettler Park Dr
Dumfries, VA 22025-1946 - Phone
- (703) 441-1276
- Fax
- (703) 441-0097
- NPI assigned
- Aug 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101045677 | VA | Primary |
Addresses
Primary practice location
3783 Fettler Park Dr
Dumfries, VA 22025-1946
Mailing address
3783 Fettler Park Dr
Dumfries, VA 22025-1946
Phone (703) 441-1276
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210772 | Other | ANTHEM BCBS | |
| 090227 | Other | ANTHEM HEALTHKEEPER | |
| 1021764 | Other | CIGNA | |
| 474704 | Other | VA | AETNA |
| 817893 | Other | ALLIANCE | |
| 1383508 | Other | FIRST HEALTH | |
| 607666 | Medicaid | VA | |
| 210772 | Other | VA | BCBS |
| A0660001 | Other | CAREFIRST BCBS | |
| A0660001 | Other | CAREFIRST BLUECHOICE | |
| 10719011 | Other | UNITED HEALTHCARE | |
| 299294 | Other | GREATWEST | |
| 817893 | Other | MDIPA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101045677 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dumfries Family Medical Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Exclusive Provider Organization
- Dumfries, VA
- NPI 1790951275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1487663407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3783 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220251946",
"telephone_number": "703-441-1276",
"fax_number": "703-441-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3783 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220251946",
"telephone_number": "703-441-1276",
"fax_number": "703-441-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRTUDES",
"first_name": "LORETO",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101045677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "210772",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEPER",
"identifier": "090227",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1021764",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "474704",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "817893",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1383508",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "607666",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "210772",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "A0660001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "A0660001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "10719011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREATWEST",
"identifier": "299294",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "817893",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dumfries, VA
- Savithri-Chandana Veluri, VA
- Christian B Vertudes, DPT
- Vick Johns Counseling and Consulting
- Virginia CVS Pharmacy LLC (CVS Pharmacy #17110)
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy # 06852)
- Tiffany Vuong
- Mary Wachira, MPH, IBCLC, CPH
- Kenya Michelle Wade, CPNP
- Kenyetta Makiba Wakini, LMSW
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3588)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.