Active NPI
Michele L Ledoux-Pascucci, DO
- Internal Medicine Physician
- Fort Belvoir, VA
National Provider Identifier
1548236185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102201559
- Practice address
- A.T. Augusta Military Medical Center
9300 Dewitt Loop
Fort Belvoir, VA 22060 - Phone
- (703) 805-8127
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0102201559 | VA | |
| Internal Medicine Physician | 207R00000X | 0102201559 | VA | Primary |
Addresses
Primary practice location
A.T. Augusta Military Medical Center
9300 Dewitt Loop
Fort Belvoir, VA 22060
Mailing address
12400 Fairfax Station Rd
Clifton, VA 20124-1633
Phone (703) 965-7119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260318000794 | VA | Order and Referring Only - Internal Medicine | 5395711808 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102201559 | VA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Evms Academic Physicians and Surgeons Health Services Foundation | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1003887118
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1548236185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 FAIRFAX STATION RD",
"city": "CLIFTON",
"state": "VA",
"postal_code": "201241633",
"telephone_number": "703-965-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A.T. AUGUSTA MILITARY MEDICAL CENTER",
"address_2": "9300 DEWITT LOOP",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "22060",
"telephone_number": "703-805-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDOUX-PASCUCCI",
"first_name": "MICHELE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2024-04-11",
"certification_date": "2024-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "0102201559",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102201559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.