Active NPI
Robert a. Nussbaum, MD, P.C.
- Gastroenterology Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101047887
- Legal business name
- ROBERT A. NUSSBAUM, MD, P.C.
- Practice address
- 6355 Walker LN
Ste 309
Alexandria, VA 22310-3247 - Phone
- (703) 313-8400
- Fax
- (703) 313-9666
- NPI assigned
- Oct 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert A Nussbaum, M.D.
- Title
- President
- Phone
- (703) 313-8400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101047887 | VA | Primary |
Addresses
Primary practice location
6355 Walker LN
Ste 309
Alexandria, VA 22310-3247
Mailing address
6355 Walker LN
Ste 309
Alexandria, VA 22310-3247
Phone (703) 313-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0968758 | Robert a Nussbaum MD PC | Certificate of waiver | Dec 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
6355 Walker Ln
Ste 309
Alexandria, VA 22310
Phone (703) 313-8400
Interoperability endpoints
- https://api.platform.athenahealth.com/8534/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393891200000",
"number": "1598041477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 WALKER LN",
"address_2": "STE 309",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103247",
"telephone_number": "703-313-8400",
"fax_number": "703-313-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 WALKER LN",
"address_2": "STE 309",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103247",
"telephone_number": "703-313-8400",
"fax_number": "703-313-9666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT A. NUSSBAUM, MD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-24",
"last_updated": "2014-03-04",
"status": "A",
"authorized_official_last_name": "NUSSBAUM",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-313-8400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101047887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.