Jeremy Bousselot, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101255360 Issued in VA

Practice address

1701 N George Mason Dr
Arlington, VA 22205-3610

Phone

(703) 717-4400

Fax

(703) 717-4401

NPI assigned

Mar 24, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

Georgetown University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

Merit-based Incentive Payment System (MIPS)

Final score

80.33 of 100Reported as group

Quality

74.39

Promoting interoperability

87

Improvement activities

40

Cost

70.89

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbousselot11074@direct.virginiahospitalcenter.net

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.

• Virginia Hospital Center Physician Group, LLC

  • Maternal & Fetal Medicine Physician
  • Arlington, VA
  • NPI 1144415480

  DC

  Medicare reassignment Care Compare group NPD
• Virginia Hospital Center Physician Group LLC

  • Neurology Physician
  • Arlington, VA
  • NPI 1245010479
  NPD
• Virginia Hospital Center Physician Group LLC

  • Gynecologic Oncology Physician
  • Arlington, VA
  • NPI 1780086884
  NPD
• Virginia Hospital Center Physician Group LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1326331976
  NPD (past)

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

• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1558660811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR STE 345",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053690",
            "telephone_number": "703-717-4400",
            "fax_number": "703-717-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GEORGE MASON DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053610",
            "telephone_number": "703-717-4400",
            "fax_number": "703-717-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSSELOT",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101255360",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101255360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbousselot11074@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "1701 N George Mason Dr",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222053610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Born, M.D.
• Lillibeth B Boruchow, MD
• Boss Transport and Trucking LLC.
• Jeff Boss
• Brian Boston, PT, DPT
• Cynthia Christina Bowden, OTA
• Christopher R Bowlds, IDMT
• Siobhan Ellin Bowler, MC, MAC, CSAC
• Norma Bowman-Bell, CRNA
• Julia K Bowman, MS RD LMHC

• Internal Medicine Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.