Individual provider Active NPI

Alec Matthew Dodd

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1972221729
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010277 Issued in VA
Practice address
1800 N Beauregard St Ste 300
Alexandria, VA 22311-5879
Phone
(703) 680-2111
Fax
(703) 878-3939
NPI assigned
Aug 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110010277 VA Primary

Addresses

Primary practice location

1800 N Beauregard St Ste 300
Alexandria, VA 22311-5879

Mailing address

301 Carmell CT
Morgantown, WV 26505-7802
Phone (304) 280-3970

Other practice location 1

301 Carmell Ct
Morgantown, WV 26505-7802
Phone (304) 280-3970

Other practice location 2

3700 Joseph Siewick Dr Ste 300
Fairfax, VA 22033-1739
Phone (703) 680-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241016001486 VA Practitioner - Physician Assistant 4183156128 Reassigns benefits to 2 organizations
I20241115003643 DC Practitioner - Physician Assistant 4183156128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
West Virginia University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Urology Center, LLCGroup PAC ID 1557329406, 17 clinicians
Gastrointestinal Specialists LLCGroup PAC ID 5294797957, 79 clinicians

Practice addresses (Care Compare)

1800 N Beauregard St
Suite 3
Alexandria, VA 22311-1735
Phone (703) 680-2111

1860 Town Ctr Dr
Suite 150
Reston, VA 20190-5905
Phone (703) 480-0220

3700 Joseph Siewick Dr
Suite 300
Fairfax, VA 22033-1739
Phone (703) 680-2111

6602 W Broad St
Suite B
Richmond, VA 23230-1702
Phone (804) 285-8206

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1800 N Beauregard St
Ste 300
Alexandria, VA 22311

1800 N Beauregard St
Ste 3
Alexandria, VA 22311

3700 Joseph Siewick Dr
Ste 300
Fairfax, VA 22033
Phone (703) 569-8400

2296 Opitz Blvd
Ste 350
Woodbridge, VA 22191
Phone (703) 680-5327

2296 Opitz Blvd
Ste 300
Woodbridge, VA 22191
Phone (703) 523-0998

Organizations & group practices 2

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 2

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1972221729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CARMELL CT",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265057802",
            "telephone_number": "304-280-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N BEAUREGARD ST STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223115879",
            "telephone_number": "703-680-2111",
            "fax_number": "703-878-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Carmell Ct",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265057802",
            "country_code": "US",
            "telephone_number": "304-280-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Joseph Siewick Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331739",
            "country_code": "US",
            "telephone_number": "703-680-2111",
            "fax_number": "703-878-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODD",
        "first_name": "ALEC",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.