Individual provider Active NPI

Robert Alan Nussbaum, M.D.

  • Gastroenterology Physician
  • Alexandria, VA
National Provider Identifier
1659364511
Registry record updated Mar 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101047887 Issued in VA
Practice address
6355 Walker LN
Suite # 309
Alexandria, VA 22310-3245
Phone
(703) 313-8400
Fax
(703) 313-9666
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101047887 VA Primary

Addresses

Primary practice location

6355 Walker LN
Suite # 309
Alexandria, VA 22310-3245

Mailing address

6355 Walker LN
Suite # 309
Alexandria, VA 22310-3245
Phone (703) 313-8400

Other identifiers 1

IdentifierTypeStateIssuer
5806372MedicaidVA

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
I20111227000661 DC Practitioner - Gastroenterology 9638345572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Icahn School of Medicine at Mount Sinai, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

6355 Walker Lane
Alexandria, VA 22310-3247
Phone (703) 971-0505

6355 Walker LN
Suite 309
Alexandria, VA 22310-3247
Phone (703) 313-8400

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as individual
Quality
99.1
Promoting interoperability
100
Improvement activities
40
Cost
64.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101047887VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Gastroenterology CurrentSince Apr 3, 2026 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 3, 2026 Accepting new patients
Robert a. Nussbaum, MD, P.C. Gastroenterology CurrentSince Oct 9, 1991 Accepting new patients

Locations

6355 Walker Ln
Ste 309
Alexandria, VA 22310
Phone (703) 313-8400

Interoperability endpoints

  • Direct secure messaging: robert.nussbaum.1@8534.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8534/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 4

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393718400000",
    "number": "1659364511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN",
            "address_2": "SUITE # 309",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103245",
            "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": "SUITE # 309",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103245",
            "telephone_number": "703-313-8400",
            "fax_number": "703-313-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2014-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101047887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5806372",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.