David Lucas Mahoney (NPI# 1548268048, PAC ID# 1658283056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1548268048 |
| PAC ID by PECOS | 1658283056 |
| Professional Enrollment ID | I20110210000366 |
| Full Name | David Lucas Mahoney |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC |
| Address |
280 Hatcher Ave Purcellville VA 20132 |
| Phone Number | 7034761740 |
| Gender | M |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 4587566138 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490063 | INOVA FAIRFAX HOSPITAL |
| 490043 | INOVA LOUDOUN HOSPITAL |
| 490040 | INOVA ALEXANDRIA HOSPITAL |
| 490101 | INOVA FAIR OAKS HOSPITAL |
| 490113 | SENTARA NORTHERN VIRGINIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13135 Lee Jackson Hwy, Fairfax, VA 22033-1907 | 7034761740 | NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC |
| 13135 Lee Jackson Hwy, Suite 135, Fairfax, VA 22033-1907 | 7034761740 | NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC |
| 280 Hatcher Ave, Purcellville, VA 20132 | 7034761740 | NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Thomas Harley | Nephrology | Nephrology Associates of Northern Virginia Inc | 8405 Dorsey Cir, Suite 102, Manassas, VA 20110-8304 |
| Ali Reza Assefi | Nephrology | Nephrology Associates of Northern Virginia Inc | 46396 Benedict Dr, Suite 220, Sterling, VA 20164-6626 |
| Jenny J Nazzal | Nephrology | Nephrology Associates of Northern Virginia Inc | 13135 Lee Jackson Hwy, Suite 135, Fairfax, VA 22033-1907 |
| Kourosh Dibadj | Nephrology | Nephrology Associates of Northern Virginia Inc | 13135 Lee Jackson Hwy, Suite 135, Fairfax, VA 22033-1907 |
| Franco Musio | Nephrology | Nephrology Associates of Northern Virginia Inc | 8501 Arlington Blvd, Suite 100, Fairfax, VA 22031-4625 |
| Mustafa Saidi | Internal Medicine | Nephrology Associates of Northern Virginia Inc | 8405 Dorsey Cir, Suite 102, Manassas, VA 20110-8304 |
| Ahmadshah Mirkhel | Nephrology | Nephrology Associates of Northern Virginia Inc | 8501 Arlington Blvd, Suite 100, Fairfax, VA 22031-4625 |
| Gregory S Wang | Nephrology | Nephrology Associates of Northern Virginia Inc | 8405 Dorsey Cir, Suite 102, Manassas, VA 20110-8304 |
| Robert Carey Mackow | Nephrology | Nephrology Associates of Northern Virginia Inc | 8501 Arlington Blvd, Suite 100, Fairfax, VA 22031-4625 |
| Misbah Zaheer | Nephrology | Nephrology Associates of Northern Virginia Inc | 13135 Lee Jackson Hwy, Suite 135, Fairfax, VA 22033-1907 |
| Street Address |
280 HATCHER AVE |
| City | PURCELLVILLE |
| State | VA |
| Zip | 20132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Wenzel | Family Medicine | Loudoun Medical Group PC | 117 N Bailey Ln, Suite 200, Purcellville, VA 20132-3085 |
| James H Towe | Family Practice | Loudoun Medical Group PC | 117 N Bailey Ln, Suite 200, Purcellville, VA 20132-3085 |
| Miriam S Lender | Internal Medicine | Inova Physician Partners Inc | 740 E Main St, Purcellville, VA 20132-3128 |
| Tushar G Patel | Internal Medicine | Inova Physician Partners Inc | 740 E Main St, Purcellville, VA 20132-3128 |
| Jocelyn Patricia Serrano | Family Medicine | Inova Physician Partners Inc | 740 E Main St, Purcellville, VA 20132-3128 |
| Mahamarakkala Patabandige Deepani Dias | Family Medicine | Inova Physician Partners Inc | 740 E Main St, Purcellville, VA 20132-3128 |
| Christina A Bauer | Family Medicine | Inova Physician Partners Inc | 740 E Main St, Purcellville, VA 20132-3128 |
| Kurt G Rodney | Emergency Medicine | Inova Health Care Services | 740 E Main St, Purcellville, VA 20132-3128 |
| Sharayu Sawant | Family Medicine | Inova Physician Partners Inc | 740 E Main St, Purcellville, VA 20132-3128 |
| Holger Noelle | Family Medicine | Inova Physician Partners Inc | 740 E Main St, Purcellville, VA 20132-3128 |
| Find all physicians in zip 20132 | |||
| City | PURCELLVILLE |
| Zip Code | 20132 |
| Specialty | NEPHROLOGY |
| City + Specialty | PURCELLVILLE + NEPHROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.