John Rico Bustamante Magpantay, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101238814 Issued in VA

Practice address

9300 Dewitt Loop
Internal Medicine Clinic
Ft Belvoir, VA 22060-5285

Phone

(571) 231-1022

Fax

(571) 231-1155

NPI assigned

Mar 31, 2006

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Albert J Weaver MD

  dba Haymarket Medical Center

  • Family Medicine Physician
  • Gainesville, VA
  • NPI 1538120191
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1982665543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "address_2": "INTERNAL MEDICINE CLINIC",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-1022",
            "fax_number": "571-231-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "address_2": "INTERNAL MEDICINE CLINIC",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-1022",
            "fax_number": "571-231-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGPANTAY",
        "first_name": "JOHN RICO",
        "middle_name": "BUSTAMANTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101238814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Hoangdung Ly, DDS
• Kai-Wood Ma, MD
• Jason Alexander Macdonnell, M.D.
• Jacob Macgregor, CRNA
• Lisa Mack, MD
• Michael Malabad, PA-S
• Hanaa Sadik Malaty, RPH
• Paola Cristina Maldonado, APRN
• Ashley L Maltez-Laurienti, PSY.D.
• Robert E Manaker, M.D.

• Internal Medicine Physician in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.