Diabetes and Endocrine Care of Virginia, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

0101263059 Issued in VA

Legal business name

DIABETES AND ENDOCRINE CARE OF VIRGINIA, LLC

Practice address

9001 Digges Rd Ste 101
Manassas, VA 20110-4414

Phone

(571) 363-3082

Fax

(571) 363-3024

NPI assigned

Sep 12, 2017

Organization subpart

No

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

Authorized official

Name

Alejandro Santos Leal, MDNPI 1780847111

Title

Owner

Phone

(312) 315-4293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alejandro Santos Leal, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Manassas, VA
  • NPI 1780847111
  Medicare reassignment Care Compare group NPD Authorized official
• Fredlyn Thornhill, AGNP-C, RN

  • Gerontology Nurse Practitioner
  • Manassas, VA
  • NPI 1235671900
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1659890663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104414",
            "telephone_number": "571-363-3082",
            "fax_number": "571-363-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104414",
            "telephone_number": "571-363-3082",
            "fax_number": "571-363-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINE CARE OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "SANTOS LEAL",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-315-4293",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101263059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.