Somatus Dialysis of Mount Vernon, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

SOMATUS DIALYSIS OF MOUNT VERNON, LLC

Practice address

2501 Parkers LN Ste 100
Alexandria, VA 22306-3209

Phone

(571) 549-6040

NPI assigned

Jul 27, 2018

Organization subpart

No

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

Authorized official

Name

Alicia Palmer

Title

General Counsel

Phone

(202) 236-7061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

Somatus Dialysis of Mount VernonCCN 492730

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Mar 20, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

12

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Inova Health Care Services

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Falls Church, VA
  • NPI 1568593440

  Member Of

  NPD member

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Zaid Akram Hammoodi, M.D.

  • Nephrology Physician
  • Fairfax, VA
  • NPI 1780047233

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1902383367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 INTERNATIONAL DR STE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024420",
            "telephone_number": "703-712-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKERS LN STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063209",
            "telephone_number": "571-549-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATUS DIALYSIS OF MOUNT VERNON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "202-236-7061"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Elaine Solis-Mesch, FNP-BC
• Abele Solomon
• Richard Keith Solomon, D.C.
• Solutions Physical Therapy & Sports Medicine, LLC
• Soma Psychiatry, PLLC
• Charles Son, DC
• Chao Song, PH.D
• Jin Young Song
• Yoonjoo Song
• Jessica Sonnenberger

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alexandria, VA
• Providers in Alexandria, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.