Individual provider Active NPI

Alexander Olegovich Gogoli, DO

  • Internal Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1902435639
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102209170 Issued in VA
Practice address
1871 Evelyn Byrd Ave
Harrisonburg, VA 22801-3487
Phone
(540) 564-5800
NPI assigned
Apr 4, 2020
Last updated
May 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 0102209170 VA Primary

Addresses

Primary practice location

1871 Evelyn Byrd Ave
Harrisonburg, VA 22801-3487

Mailing address

1215 Lee St Box #800133
Charlottesville, VA 22908-0816
Phone (434) 924-1984

Other practice location 1

1215 Lee St Box #800133
Charlottesville, VA 22908-0816
Phone (434) 924-1984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250717000195 VA Practitioner - Internal Medicine 1456773001 Reassigns benefits to 2 organizations
I20260313000595 VA Practitioner - NephrologyPractitioner - Internal Medicine 1456773001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7147

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102209170VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince May 1, 2025 Accepting new patients
Tidewater Kidney Specialists, Inc. CurrentSince May 1, 2026 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 15, 2025 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine Current Accepting new patients
RMH Medical Group LLC CurrentSince May 1, 2025 Accepting new patients
Tidewater Kidney Specialists, Inc. CurrentSince May 1, 2026 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince May 15, 2025 Accepting new patients
Evms Academic Physicians and Surgeons Health Services Foundation Internal Medicine PastSince Apr 1, 2020 Accepting new patients

Locations

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

500 W 21st St
Ste 102
Norfolk, VA 23517

1871 Evelyn Byrd Ave
Rockingham, VA 22801
Phone (540) 434-0559

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

Interoperability endpoints

  • Direct secure messaging: agogoli572123@direct.healthsystem.virginia.edu

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1902435639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LEE ST BOX #800133",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080816",
            "telephone_number": "434-924-1984",
            "fax_number": "434-244-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 EVELYN BYRD AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013487",
            "telephone_number": "540-564-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St Box #800133",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-1984",
            "fax_number": "434-244-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOGOLI",
        "first_name": "ALEXANDER",
        "middle_name": "OLEGOVICH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-04",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102209170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.