Active NPI
Robert Alan Nussbaum, M.D.
- Gastroenterology Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101047887
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5806372 | Medicaid | VA |
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
Enrollment records 1
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
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 100
- Quality
- 99.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 64.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 37 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 58 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101047887 | VA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Gastroenterology | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Robert a. Nussbaum, MD, P.C. | Gastroenterology | Current | Accepting new patients |
Locations
6355 Walker Ln
Ste 309
Alexandria, VA 22310
Phone (703) 313-8400
Interoperability endpoints
- robert.nussbaum.1@8534.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, Gastroenterology
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
dba Inova Mount Vernon Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
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
- Nurse Ride Inc.
- Nurses on Call, Ing (nurses on call)
- Nurturing Nest Counseling Services LLC
- Camilla Dulys Nusbaum, MD
- Barbara Barletta Nussbaum, R.PH.
- Nuweights (Washington Nutrition Group)
- NV Healthcare Partners Inc (Alexandria Primary Care Associates)
- Ugochukwu O Nwachukwu, PHARMD
- Josephine Nwalipenja
- Kristin Irene Nygaard-Daugherty, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.