Individual provider Active NPI

Rosanna C Fulchiero, D.O.

  • Pediatrics Physician
  • Fairfax, VA
National Provider Identifier
1518316652
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102205597 Issued in VA
Practice address
8280 Willow Oaks Corporate Dr Ste 300
Fairfax, VA 22031-4526
Phone
(571) 472-4300
Fax
(571) 665-6771
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0210X OT020045 PA
Pediatrics Physician 208000000X 0102205597 VA Primary

Addresses

Primary practice location

8280 Willow Oaks Corporate Dr Ste 300
Fairfax, VA 22031-4526

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

3401 Civic Center Blvd
Division of Pediatric Nephrology
Philadelphia, PA 19104-4319
Phone (215) 590-2449

Other practice location 2

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-7834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20190725000531 DC Practitioner - Pediatric Medicine 9931435187 Reassigns benefits to 3 organizations
I20190826001132 VA Practitioner - Pediatric Medicine 9931435187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of New England, College of Osteo Medicine, 2016
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

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102205597VAMDPediatrics Physician
OT020045PAMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MGMC, LLC Single Specialty Current Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Medstar Medical Group II LLC Single Specialty CurrentSince May 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2023 Accepting new patients
MGMC LLC CurrentSince Oct 1, 2023 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Jul 1, 2019 Accepting new patients

Locations

4200 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 243-3400

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

8280 Willow Oaks Corporate Dr
Ste 300
Fairfax, VA 22031
Phone (571) 200-1839

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

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

Interoperability endpoints

  • Direct secure messaging: rfulchiero186028@soc.inova.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1518316652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 WILLOW OAKS CORPORATE DR STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314526",
            "telephone_number": "571-472-4300",
            "fax_number": "571-665-6771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Civic Center Blvd",
            "address_2": "Division of Pediatric Nephrology",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044319",
            "country_code": "US",
            "telephone_number": "215-590-2449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-7834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULCHIERO",
        "first_name": "ROSANNA",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "PA",
            "license": "OT020045",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102205597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.