Jennifer Elaine Dunlavy, M.D.
Individual provider Active NPI Emergency Medicine Physician · Oak Hill, VA
NPI 1861419871 · NPPES record last updated Mar 27, 2022
Key facts
- NPI
- 1861419871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01062189A (IN)
- Practice address
- 13010 Henson CT
Oak Hill, VA 20171-2938 - Phone
- (210) 386-8433
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Rush Medical College of Rush University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
8008 Westpark Dr
MC Lean, VA 22102-3109
Phone (703) 287-6400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, 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 |
|---|---|---|---|---|
| I20080925000526 | DC | Practitioner - Emergency Medicine | 9133296650 | Reassigns benefits to 2 organizations |
| I20150427002422 | VA | Practitioner - Emergency Medicine | 9133296650 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062189A | IN | MD | Emergency Medicine Physician |
| 0101242889 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates, P.a.,P.C. | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients |
Locations
20010 Century Blvd
Ste 200
Germantown, MD 20874
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101242889 | VA | |
| Emergency Medicine Physician | 207P00000X | 01062189A | IN | Yes |
Addresses
Primary practice location
13010 Henson CT
Oak Hill, VA 20171-2938
Mailing address
1050 W Perimeter Rd
Andrews Afb, MD 20762-6601
Phone (210) 386-8433
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) | |
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) | |
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) | |
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Oak Hill, VA
- Building Bridges Therapeutic Services, LLC
- Cynthie Bush
- C2 Associates, Inc.
- Vivien Dong
- Teresa Drew
- Adair Gilliam
- Charles L Grausz
- Ralph Webster Hale
- Home Care Assistance Incorporated
- Innovation Speech Therapy, PLLC
All providers in Oak Hill, VA · Emergency Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.