Active NPI
Alina Fomovska, MD
- Emergency Medicine Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD470237
- Practice address
- 1215 Lee St
Charlottesville, VA 22908-0203 - Phone
- (434) 924-1055
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD470237 | PA | Primary |
| Emergency Medicine Physician | 207P00000X | 0101266812 | VA |
Addresses
Primary practice location
1215 Lee St
Charlottesville, VA 22908-0203
Mailing address
1020 Sansom St
Ste 239
Philadelphia, PA 19107-5002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| Hospice of the Piedmont, Inc. | Single Specialty | Current | Accepting new patients |
| Jefferson Acute Care Physicians, PC | Single Specialty | Current | Accepting new patients |
| University of Virginia Physicians Group | Single Specialty | Current | Accepting new patients |
Locations
700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300
1215 Lee St
Fl 1
Charlottesville, VA 22908
Phone (434) 924-9400
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
675 Peter Jefferson Pkwy
Ste 300
Charlottesvle, VA 22911
Phone (434) 817-6900
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospice of the Piedmont, Inc. | Hospice | W-2 Managing Employee Operational/Managerial Control |
Jun 3, 2023 Jun 3, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Charlottesville, VA
- NPI 1184719171
Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 4
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.
-
- Community Based Hospice Care Agency
- Charlottesville, VA
- NPI 1184719171
Single Specialty
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
Single Specialty
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1730571324
Single Specialty
-
- Urgent Care Clinic/Center
- Flourtown, PA
- NPI 1245892314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1649665456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 SANSOM ST",
"address_2": "STE 239",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080203",
"telephone_number": "434-924-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOMOVSKA",
"first_name": "ALINA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD470237",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101266812",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.