Individual provider Active NPI

Roula Saleem Dandalides, MSN, FNP-C

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1790327583
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178285 Issued in VA
Practice address
8503 Arlington Blvd # V
Fairfax, VA 22031-4628
Phone
(703) 208-4200
Fax
(703) 876-1799
NPI assigned
Oct 13, 2019
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN1046094 DC
Nurse Practitioner 363L00000X AC002874 MD
Nurse Practitioner 363L00000X 0024178285 VA
Family Nurse Practitioner 363LF0000X 0024178285 VA Primary

Addresses

Primary practice location

8503 Arlington Blvd # V
Fairfax, VA 22031-4628

Mailing address

8503 Arlington Blvd # V
Fairfax, VA 22031-4628
Phone (703) 208-4200

Other practice location 1

5410 Edson Ln Ste 306
Rockville, MD 20852-3155
Phone (301) 984-1870

Other practice location 2

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-6526

Other practice location 3

3300 Gallows Rd
Falls Church, VA 22042-3300
Phone (703) 776-4001

Other practice location 4

8081 Innovation Park Dr Ste 500
Fairfax, VA 22031-4867
Phone (571) 472-7040

Other names 1

  • Roula Saleem Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200227001466 DC Practitioner - Nurse Practitioner 8628405875 Reassigns benefits to 2 organizations
I20240529003420 VA Practitioner - Nurse Practitioner 8628405875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

3650 Joseph Siewick Dr
Fairfax, VA 22033-1711

44055 Riverside Pkwy
Leesburg, VA 20176-5179
Phone (703) 858-6192

8081 Innovation Park Dr
Fairfax, VA 22031-4867

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1046094DCMDNurse Practitioner
AC002874MDMDNurse Practitioner
0024178285VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Hospital Center Corp Current Accepting new patients
Washington Hospital Center Corp CurrentSince Jan 13, 2020 Accepting new patients
Inova Health Care Services CurrentSince Jun 22, 2020 Accepting new patients
Washington Hospital Center Corp CurrentSince Jan 13, 2020 Accepting new patients
Inova Health Care Services CurrentSince Jun 22, 2020 Accepting new patients
Inova Health Care Services CurrentSince Apr 28, 2024 Accepting new patients

Locations

106 Irving St NW
Washington, DC 20010
Phone (202) 877-0275

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

5410 Edson Ln
Ste 306
Rockville, MD 20852
Phone (301) 984-1870

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

8081 Innovation Park Dr
Ste 500
Fairfax, VA 22031
Phone (571) 472-7040

8503 Arlington Blvd
#V
Fairfax, VA 22031
Phone (703) 208-4200

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

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44055 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 724-7530

Interoperability endpoints

  • Direct secure messaging: rdandalides714698@soc.inova.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1790327583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 ARLINGTON BLVD # V",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314628",
            "telephone_number": "703-208-4200",
            "fax_number": "703-876-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 ARLINGTON BLVD # V",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314628",
            "telephone_number": "703-208-4200",
            "fax_number": "703-876-1799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5410 Edson Ln Ste 306",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208523155",
            "country_code": "US",
            "telephone_number": "301-984-1870",
            "fax_number": "301-984-1878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Irving St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-6526",
            "fax_number": "202-877-0530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423300",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8081 Innovation Park Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314867",
            "country_code": "US",
            "telephone_number": "571-472-7040",
            "fax_number": "571-472-7041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANDALIDES",
        "first_name": "ROULA",
        "middle_name": "SALEEM",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1046094",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC002874",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178285",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROULA",
            "last_name": "SALEEM",
            "credential": "MSN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.