Individual provider Active NPI

Oraphan Chomthongdi Chusuei, M.D.

  • Family Medicine Physician
  • McLean, VA
National Provider Identifier
1780788224
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101023818 Issued in VA
Practice address
8373A Greensboro Dr
McLean, VA 22102-3529
Phone
(703) 821-6621
Fax
(703) 356-0991
NPI assigned
Sep 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101023818 VA Primary

Addresses

Primary practice location

8373A Greensboro Dr
McLean, VA 22102-3529

Mailing address

8373A Greensboro Dr
McLean, VA 22102-3529
Phone (703) 821-6621

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
I20100304000409 DC Practitioner - Family Practice 9234274028 Practice locations: MC Lean, VA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780788224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8373A GREENSBORO DR",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023529",
            "telephone_number": "703-821-6621",
            "fax_number": "703-356-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8373A GREENSBORO DR",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023529",
            "telephone_number": "703-821-6621",
            "fax_number": "703-356-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUSUEI",
        "first_name": "ORAPHAN",
        "middle_name": "CHOMTHONGDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101023818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.