Individual provider Active NPI

Peter Paganussi, MD

  • Emergency Medicine Physician
  • Falls Church, VA
National Provider Identifier
1699712778
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101043880 Issued in VA
Practice address
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone
(703) 776-3111
Fax
(904) 346-0113
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101043880 VA Primary

Addresses

Primary practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Mailing address

PO Box 75567
Baltimore, MD 21275-5567
Phone (703) 205-9790

Other identifiers 3

IdentifierTypeStateIssuer
0001OtherVABCBS
6063551MedicaidVA
930047718OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090701000047 DC Practitioner - Emergency Medicine 4183775257 Reassigns benefits to 3 organizations
I20090701000585 VA Practitioner - Emergency Medicine 4183775257 Reassigns benefits to 2 organizations
I20110429000359 WV Practitioner - Emergency Medicine 4183775257 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101043880VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JMH Emergency Physicians Emergency Medicine CurrentSince Mar 19, 2011 Accepting new patients
American Current Care PA CurrentSince Jul 26, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2009 Accepting new patients
American Current Care, PA. CurrentSince Jul 26, 2021 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince May 24, 2013 Accepting new patients
American Current Care PA Current Accepting new patients
American Current Care P.a. CurrentSince Jul 26, 2021 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince May 24, 2013 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Oct 26, 2013 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine Current Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

4451 Parliament Pl
Ste G
Lanham, MD 20706
Phone (301) 459-9113

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

4301 W Broad St
Richmond, VA 23230
Phone (804) 358-0361

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Organizations & group practices 11

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1699712778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75567",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755567",
            "telephone_number": "703-205-9790",
            "fax_number": "904-346-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-3111",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANUSSI",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101043880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6063551",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930047718",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.