Individual provider Active NPI

Deborah Gofreed, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Arlington, VA
National Provider Identifier
1982792420
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
0101036617 Issued in VA
Practice address
1005 N Glebe Rd # 705
Arlington, VA 22201-5718
Phone
(703) 524-7202
Fax
(703) 516-4501
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101036617 VA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0101036617 VA Primary

Addresses

Primary practice location

1005 N Glebe Rd # 705
Arlington, VA 22201-5718

Mailing address

2901 Telestar CT Ste 300
Falls Church, VA 22042-1263
Phone (703) 591-1688

Other practice location 1

2901 Telestar Ct Ste 200
Falls Church, VA 22042-1262
Phone (703) 573-3494

Other practice location 2

2901 Telestar Ct # 440
Falls Church, VA 22042-1260
Phone (703) 621-4503

Other practice location 3

44035 Riverside Pkwy Ste 400
Leesburg, VA 20176-8260
Phone (703) 858-5421

Other identifiers 1

IdentifierTypeStateIssuer
1982792420MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050525000371 DC Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7113969627 Reassigns benefits to 1 organization
I20070710000918 VA Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7113969627 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Sep 18, 2017 Accepting new patients
Inova Health Care Services CurrentSince Sep 18, 2017 Accepting new patients
Inova Health Care Services CurrentSince Sep 18, 2017 Accepting new patients
Marc I Raphaelson MD PA Sleep Medicine Past Accepting new patients
Pulmonary and Medical Associates of Northern Virginia LTD Pulmonary Disease PastSince Nov 27, 2010 Accepting new patients

Locations

3289 Woodburn Rd
Ste 360
Annandale, VA 22003
Phone (703) 876-9870

3833 Fairfax Dr
Ste 360
Arlington, VA 22203
Phone (571) 363-4791

1005 N Glebe Rd
Ste 750
Arlington, VA 22201
Phone (703) 524-7202

2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688

2901 Telestar Ct
Ste 200
Falls Church, VA 22042
Phone (703) 573-3494

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

2901 Telestar Ct
Ste 440
Falls Church, VA 22042
Phone (703) 621-4503

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

224D Cornwall St NW
Ste 101
Leesburg, VA 20176
Phone (866) 707-5337

44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176
Phone (703) 858-5421

120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664

130 Park St SE
Ste 100
Vienna, VA 22180
Phone (703) 281-1265

1900 Gallows Rd
Ste 110
Vienna, VA 22182
Phone (703) 281-1265

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982792420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421263",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD # 705",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015718",
            "telephone_number": "703-524-7202",
            "fax_number": "703-516-4501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Telestar Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421262",
            "country_code": "US",
            "telephone_number": "703-573-3494",
            "fax_number": "703-573-5353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Telestar Ct # 440",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421260",
            "country_code": "US",
            "telephone_number": "703-621-4503",
            "fax_number": "703-766-5921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44035 Riverside Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201768260",
            "country_code": "US",
            "telephone_number": "703-858-5421",
            "fax_number": "703-858-9573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFREED",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101036617",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101036617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982792420",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.