Active NPI
Jorge I Ramallo, M.D.
- Obstetrics & Gynecology Physician
- Annandale, VA
National Provider Identifier
1811250293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101259926
- Practice address
- 4216 Evergreen LN Ste 121
Annandale, VA 22003-3256 - Phone
- (703) 434-0749
- Fax
- (888) 671-8837
- NPI assigned
- Jun 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Warrenton, VA
- NPI 1770916983
-
- Obstetrics & Gynecology Physician
- Falls Church, VA
- NPI 1881145985
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
330 Seven Springs Way
Brentwood, TN 37027-5098
3416 Valley Brook Rd
Nashville, TN 37215-2021
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251119001542 | VA | Practitioner - Obstetrics/Gynecology | 7517458359 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101259926 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fauquier Physician Practices LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Ammicus Healthcare LLC | Obstetrics & Gynecology | Past |
Accepting new patients |
Locations
500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000
550 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5940
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101259926 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4216 Evergreen LN Ste 121
Annandale, VA 22003-3256
Mailing address
4216 Evergreen LN Ste 121
Annandale, VA 22003-3256
Phone (703) 434-0749
Other practice location 1
8303 Arlington Blvd Ste 207
Fairfax, VA 22031-2903
Phone (703) 559-0271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2025.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1811250293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4216 EVERGREEN LN STE 121",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033256",
"telephone_number": "703-434-0749",
"fax_number": "888-671-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4216 EVERGREEN LN STE 121",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033256",
"telephone_number": "703-434-0749",
"fax_number": "888-671-8837"
}
],
"practiceLocations": [
{
"address_1": "8303 Arlington Blvd Ste 207",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220312903",
"country_code": "US",
"telephone_number": "703-559-0271",
"fax_number": "888-965-4406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMALLO",
"first_name": "JORGE",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101259926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.