Individual provider Active NPI

David Alan Nielsen, D.O.

  • Orthopaedic Surgery Physician
  • Charlottesville, VA
National Provider Identifier
1922080498
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0102201260 Issued in VA
Practice address
183 Spotnap Rd
Suite C
Charlottesville, VA 22911-8812
Phone
(434) 244-8412
Fax
(434) 244-8415
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0102201260 VA Primary

Addresses

Primary practice location

183 Spotnap Rd
Suite C
Charlottesville, VA 22911-8812

Mailing address

183 Spotnap Rd
Suite C
Charlottesville, VA 22911-8812
Phone (434) 244-8412

Other identifiers 8

IdentifierTypeStateIssuer
020577234OtherVACHAMPUS/TRICARE
020577234OtherVAVA HEALTH NETWORK INS CO
020577234OtherVAFIRST HEALTH INSURANCE CO
6270745OtherVACIGNA INSURANCE COMPANY
276483OtherVAANTHEM
200044354OtherPALMETTO GBA RAILROAD
020577234OtherVAPHCS INSURANCE CO
184497OtherVASOUTHERN HEALTH INS CO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110124000897 VA Practitioner - Orthopedic Surgery 6204989916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlottesville Orthopaedic Center, PLCGroup PAC ID 4385631530, 4 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
H2 Rehabilitation Services of Virginia, LLCGroup PAC ID 1658280128, shared by 6 NPIs, 67 clinicians

Practice addresses (Care Compare)

183 Spotnap Rd
Suite C
Charlottesville, VA 22911-8812
Phone (434) 244-8412

250 Merchant Walk SQ
Charlottesville, VA 22902-6511
Phone (434) 328-4900

320 W Main St
Covington, VA 24426-1517
Phone (540) 962-6226

Hospital & facility affiliations

  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charlottesville Orthopaedic Center, PLC Orthopaedic Surgery CurrentSince Aug 1, 2002 Accepting new patients

Locations

183 Spotnap Rd
Ste C
Charlottesvle, VA 22911
Phone (434) 244-8412

Interoperability endpoints

  • Direct secure messaging: david.nielsen.1@17611.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17611/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1922080498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 SPOTNAP RD",
            "address_2": "SUITE C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118812",
            "telephone_number": "434-244-8412",
            "fax_number": "434-244-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 SPOTNAP RD",
            "address_2": "SUITE C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118812",
            "telephone_number": "434-244-8412",
            "fax_number": "434-244-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0102201260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "020577234",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA HEALTH NETWORK INS CO",
            "identifier": "020577234",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH INSURANCE CO",
            "identifier": "020577234",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE COMPANY",
            "identifier": "6270745",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "276483",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "200044354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS INSURANCE CO",
            "identifier": "020577234",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH INS CO",
            "identifier": "184497",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.