Individual provider Active NPI

Teresa M. Ulrey, MD

  • Anesthesiology Physician
  • Leesburg, VA
National Provider Identifier
1659301976
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101051893 Issued in VA
Practice address
224D Cornwall St NW
Suite 205
Leesburg, VA 20176-2700
Phone
(571) 291-3458
Fax
(571) 291-3478
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101051893 VA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101051893 VA

Addresses

Primary practice location

224D Cornwall St NW
Suite 205
Leesburg, VA 20176-2700

Mailing address

224D Cornwall St NW
Suite 205
Leesburg, VA 20176-2700
Phone (571) 291-3458

Other identifiers 2

IdentifierTypeStateIssuer
191639OtherVAANTHEM
005712521MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20111110000006 VA Practitioner - Anesthesiology 3375716251 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101051893VAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis & Sports Orthopaedics PC CurrentSince Mar 1, 2022 Accepting new patients
Outpatient Anesthesia Services of Reston, LTD Anesthesiology Past Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Loudoun Anesthesia Associates Anesthesiology Past Accepting new patients

Locations

1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700

21475 Ridgetop Cir
Ste 150
Sterling, VA 20166
Phone (703) 433-2500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1659301976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW",
            "address_2": "SUITE 205",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762700",
            "telephone_number": "571-291-3458",
            "fax_number": "571-291-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW",
            "address_2": "SUITE 205",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762700",
            "telephone_number": "571-291-3458",
            "fax_number": "571-291-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULREY",
        "first_name": "TERESA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101051893",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101051893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "191639",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005712521",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.