Dominic Edward Paoletti – Family Medicine Physician

Key facts

NPI: 1568147486
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 0110009107 (VA)
Practice address: 1850 Pocahontas TRL
Quinton, VA 23141-1657
Phone: (804) 932-4388
NPI assigned: Jun 19, 2023
Sex: Male
Sole proprietor: No

Organizations & group practices 3

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.

MCV Associated Physicians Anesthesiology Physician · Richmond, VA · NPI 1710959457

Medicare reassignment Care Compare group VA
Privia Medical Group, LLC Internal Medicine Physician · Arlington, VA · NPI 1013042480

Medicare reassignment NPD FAMILY MEDICINE · VA
Privia Medical Group, LLC Pain Medicine (Psychiatry & Neurology) Physician · Rockville, MD · NPI 1811715436

NPD

Hospital & facility affiliations 2

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

Virginia Commonwealth University Health System Authority General Acute Care Hospital · Richmond, VA · NPI 1013091727

Care Compare affiliation Hospital
Virginia Commonwealth University Health System Authority General Acute Care Hospital · Richmond, VA · NPI 1437175734

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: MCV Associated Physicians (1,779 clinicians)

Practice addresses (Care Compare)

1200 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-9000

401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737

Hospital & facility affiliations

Medical College of Virginia Hospitals Hospital · Richmond, VA · CCN 490032

Medicare participation

Medicare fee-for-service enrollment: Enrolled in VA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230816000385	VA	Practitioner - Physician Assistant	6507228012	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
0110009107	VA	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Privia Medical Group, LLC	Family Medicine	Current since Jul 5, 2023	Accepting new patients
Privia Medical Group, LLC		Current since Jul 5, 2023	Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

1850 Pocahontas Trl
Quinton, VA 23141
Phone (804) 932-4388

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	0110009107	VA	Yes

Addresses

Primary practice location

1850 Pocahontas TRL
Quinton, VA 23141-1657

Mailing address

3901 Cutshaw Ave Apt 4
Richmond, VA 23230-3946
Phone (586) 859-3894

Other providers in Quinton, VA

All providers in Quinton, VA · Family Medicine Physician in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.