Active NPI
William G. Palace, MD
- Emergency Medicine Physician
- Alexandria, VA
National Provider Identifier
1932147253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101035302
- Practice address
- 2501 Parkers LN
Inova Mount Vernon Hospital Emer Dept
Alexandria, VA 22306-3209 - Phone
- (703) 664-7112
- Fax
- (703) 664-7531
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101035302 | VA | Primary |
Addresses
Primary practice location
2501 Parkers LN
Inova Mount Vernon Hospital Emer Dept
Alexandria, VA 22306-3209
Mailing address
3700 Bay Dr
Edgewater, MD 21037-4128
Phone (301) 261-7469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050621000858 | DC | Practitioner - Emergency Medicine | 5698710630 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.67 of 100
- Quality
- 90.2
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101035302 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Commonwealth Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Virginia Em-1 Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
Locations
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Leesburg, VA
- NPI 1598723082
DC, Emergency Medicine
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
- Emergency Medicine Physician
- Alexandria, VA
- NPI 1407976947
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1932147253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 BAY DR",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210374128",
"telephone_number": "301-261-7469",
"fax_number": "301-261-7469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 PARKERS LN",
"address_2": "INOVA MOUNT VERNON HOSPITAL EMER DEPT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063209",
"telephone_number": "703-664-7112",
"fax_number": "703-664-7531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACE",
"first_name": "WILLIAM",
"middle_name": "G.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101035302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.