Individual provider Active NPI

Dory David Jewelewicz, MD

  • Anesthesiology Physician
  • Woodbridge, VA
National Provider Identifier
1790760270
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA07945400 Issued in NJ
Practice address
2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone
(973) 523-1000
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA07945400 NJ Primary

Addresses

Primary practice location

2300 Opitz Blvd
Woodbridge, VA 22191-3311

Mailing address

2012 Great Falls St
MC Lean, VA 22101-5469
Phone (571) 489-2735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140820000630 VA Practitioner - Anesthesiology 4789601675 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
George Washington University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians
Pars Anesthesia Associates PLLCGroup PAC ID 3779859079, 2 clinicians

Practice addresses (Care Compare)

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000

2280 Opitz Blvd
Suite 200
Woodbridge, VA 22191-3330
Phone (703) 580-7433

Hospital & facility affiliations

  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Pars Anesthesia Associates, PLLC Anesthesiology CurrentSince Nov 8, 2023 Accepting new patients
Premier Anesthesia of Virginia LLC Anesthesiology CurrentSince Jul 20, 2020 Accepting new patients
Surgical Anesthesia Associates, PLLC Anesthesiology CurrentSince Jan 10, 2023 Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients
Ambulatory Anesthesia Physicians, LLC Past Accepting new patients
Morris Anesthesia Group, PA Past Accepting new patients
Rutherford Anesthesia Associates, LLC Anesthesiology Past Accepting new patients
Morris Anesthesia Group, PA Anesthesiology PastSince Mar 20, 2022 Accepting new patients

Locations

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

2280 Opitz Blvd
Ste 200
Woodbridge, VA 22191
Phone 7032959360121

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1790760270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 GREAT FALLS ST",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015469",
            "telephone_number": "571-489-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913311",
            "telephone_number": "973-523-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELEWICZ",
        "first_name": "DORY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07945400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.