Stafford Internal Medical Services, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STAFFORD INTERNAL MEDICAL SERVICES, INC.

Practice address

306 Garrisonville Rd Ste 102
Stafford, VA 22554-1575

Phone

(540) 658-9340

Fax

(540) 658-9344

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

James Desimone, M.D.NPI 1164475448

Title

Physician/Owner

Phone

(540) 658-9340

Specialties & licenses 1

Addresses

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.

• James Desimone, M.D.

  • Internal Medicine Physician
  • Stafford, VA
  • NPI 1164475448
  Medicare reassignment Authorized official
• Nibedita Mohanty, M.D.

  • Internal Medicine Physician
  • Stafford, VA
  • NPI 1801847413
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1801838529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 GARRISONVILLE RD STE 102",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541575",
            "telephone_number": "540-658-9340",
            "fax_number": "540-658-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 GARRISONVILLE RD STE 102",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541575",
            "telephone_number": "540-658-9340",
            "fax_number": "540-658-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD INTERNAL MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "DESIMONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "540-658-9340",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stafford Dentistry, Inc.
• Stafford Early Autism Services
• Stafford GW Oral Surgery PLLC
• Stafford Hospital, LLC
• Stafford Hospital, LLC
• Stafford Investment Ventures, Inc
• Stafford Massage Center LLC
• Stafford Neurology
• Stafford Optometry, LLC
• Stafford Oral Surgery P.C.

• Internal Medicine Physician in Stafford, VA
• Providers in Stafford, 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 Jun 10, 2024; 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.