Individual provider Active NPI

Jorge I Ramallo, M.D.

  • Obstetrics & Gynecology Physician
  • Annandale, VA
National Provider Identifier
1811250293
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101259926 Issued in VA
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.

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 IDStateProvider typePAC IDDetails
I20251119001542 VA Practitioner - Obstetrics/Gynecology 7517458359 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101259926VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fauquier Physician Practices LLC Obstetrics & Gynecology Current
since Sep 1, 2025
Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ammicus Healthcare LLC Obstetrics & Gynecology Past
since Feb 9, 2025
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)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101259926 VA Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.