Active NPI
Somatus Medical Group, P.C.
- Nephrology Physician
- MC Lean, VA
National Provider Identifier
1902544646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- SOMATUS MEDICAL GROUP, P.C.
- Practice address
- 1861 International Dr Ste 600
MC Lean, VA 22102-4420 - Phone
- (571) 992-0600
- NPI assigned
- May 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia J Palmer
- Title
- Secretary
- Phone
- (202) 236-7061
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary | ||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
1861 International Dr Ste 600
MC Lean, VA 22102-4420
Mailing address
1861 International Dr Ste 600
MC Lean, VA 22102-4420
Phone (571) 992-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NH, PA, VA, ME, WI, MI, IL, OH, KY, MD
Enrollment records 11
National Provider Directory
National Provider DirectoryLocations
125 S Wacker Dr
Chicago, IL 60606
Phone (224) 407-2763
63 Pleasant St
Concord, NH 03301
Phone (562) 296-2730
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- MC Lean, VA
- NPI 1154740082
-
- Nephrology Physician
- Frederick, MD
- NPI 1932300845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653264000000",
"number": "1902544646",
"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": "571-992-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1861 INTERNATIONAL DR STE 600",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024420",
"telephone_number": "571-992-0600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMATUS MEDICAL GROUP, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "202-236-7061"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.