Internal Medicine Practice Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101236706 Issued in VA

Legal business name

INTERNAL MEDICINE PRACTICE ASSOCIATES PC

Practice address

46090 Lake Center PLZ
201
Potomac Falls, VA 20165-5876

Phone

(703) 444-6544

Fax

(703) 444-1121

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alok Rustogi, MDNPI 1730116575

Title

Director

Phone

(703) 880-5539

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Alok Rustogi, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Potomac Falls, VA
  • NPI 1730116575
  Medicare reassignment NPD Authorized official
• Caralyn Wilkerson Ivey, FNP

  • Family Nurse Practitioner
  • Leesburg, VA
  • NPI 1568979748
  Medicare reassignment NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1669403051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ",
            "address_2": "201",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655876",
            "telephone_number": "703-444-6544",
            "fax_number": "703-444-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ",
            "address_2": "201",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655876",
            "telephone_number": "703-444-6544",
            "fax_number": "703-444-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE PRACTICE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "RUSTOGI",
        "authorized_official_first_name": "ALOK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-880-5539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101236706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF6585",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faisal Hasan, FAISAL HASAN
• Hawa Management Group LLC
• Eunju Yang Hernandez, CRNP-FAMILY
• Linda Edwards Himler, AUD, CCC-A, FAAA/ABA
• Ifeoma Elizabeth Ilodianya, NP
• William Richard Jackomis, D.D.S., J.D.
• Kelly Renee Jacobs- Belodeau
• Karma Home Health Care LLC
• Jeffrey L Kent, DO
• Kaitlin Mae Kersey, FNP

• Internal Medicine Physician in Potomac Falls, VA
• Providers in Potomac Falls, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.