Patrick William Palumbo, MD, AAPS

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101044923 Issued in VA

Practice address

8206 Leesburg Pike Ste 401
Vienna, VA 22182-2614

Phone

(703) 356-5666

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fairfax Family Practice

  • Family Medicine Physician
  • Herndon, VA
  • NPI 1326436304

  Urgent Care

  NPD
• Five Star Physician Services, LLC

  • Internal Medicine Physician
  • Linthicum Heights, MD
  • NPI 1083654479
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1871669960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704818",
            "telephone_number": "571-665-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE STE 401",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-356-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "PATRICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD, AAPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101044923",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101044923",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INSURANCE",
            "identifier": "138097",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "84 1633951",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0005406118",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3559401",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MCDE",
            "identifier": "010076633",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Paino, D.D.S.
• Griselda Palacios
• Rachel Palenski, FNP-C
• Palmercare Chiropractic Vienna LLC
• Jorge Palomo
• Yan Pan
• Huainan Pang, LAC
• Laritta Paolini
• George Papastergiou, DDS
• Sam Peter Pappas, MD

• Emergency Medicine Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.