Individual provider Active NPI

Eric Santo Vallone, M.D.

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1598825655
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101059057 Issued in VA
Practice address
3911 Old Lee Hwy
#41C
Fairfax, VA 22030-2434
Phone
(703) 352-7100
Fax
(703) 591-7106
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101059057 VA Primary

Addresses

Primary practice location

3911 Old Lee Hwy
#41C
Fairfax, VA 22030-2434

Mailing address

3911 Old Lee Hwy
#41C
Fairfax, VA 22030-2434
Phone (703) 352-7100

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071109000191 DC Practitioner - Internal Medicine 9830287812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novamed Associates PCGroup PAC ID 5799770657, 3 clinicians

Practice addresses (Care Compare)

8316 Arlington Blvd
Fairfax, VA 22031-5216
Phone (703) 641-0333

Hospital & facility affiliations

  • Inova Home Health LLC Home health agency, Fairfax, VA, CCN 497008
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
89.5 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
65.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101059057VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novamed Associates PC Internal Medicine CurrentSince Aug 20, 2018 Accepting new patients

Locations

8316 Arlington Blvd
Ste 310
Fairfax, VA 22031
Phone (703) 208-2273

Interoperability endpoints

  • Direct secure messaging: eric.vallone.1@17926.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17926/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1598825655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 OLD LEE HWY",
            "address_2": "#41C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302434",
            "telephone_number": "703-352-7100",
            "fax_number": "703-591-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 OLD LEE HWY",
            "address_2": "#41C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302434",
            "telephone_number": "703-352-7100",
            "fax_number": "703-591-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLONE",
        "first_name": "ERIC",
        "middle_name": "SANTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101059057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.