ANTHONY J COMEROTA M.D. NPI 1083610950

NPI Information

NPI: 1083610950
Provider Name: ANTHONY J COMEROTA, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: INOVA HEALTH CARE SERVICES

PECOS Registration: Yes

Address:
2921 TELESTAR CT
FALLS CHURCH, VA
ZIP 22042
Phone: (703) 280-5858
Get Directions

Anthony J Comerota, M.D. is a vascular surgery surgery in Falls Church, VA with 50 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Anthony J Comerota, M.D. NPI is 1083610950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1974

The provider's business location address is:

2921 TELESTAR CT
FALLS CHURCH, VA
ZIP 22042-205
Phone: (703) 280-5858
Fax: (703) 849-0874

The NPI 1083610950 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 7/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	0101263955	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	344428256036	OTHER	OHIO	HEALTHNET
2	4202913	OTHER	OHIO	AETNA
3	4433576	MEDICAID	MICHIGAN
4	000000250121	OTHER	OHIO	ANHTEM MEDICAID
5	0453254	MEDICAID	OHIO
6	344428256	OTHER	OHIO	FRONTPATH
7	344428256011	OTHER	OHIO	BWC
8	000000250121	OTHER	OHIO	ANTHEM
9	04225	OTHER	OHIO	PARMOUNT
10	142215	OTHER	OHIO	CARE CHOICE
11	344428256	OTHER	OHIO	EMERALD
12	344428256	OTHER	CALIFORNIA	BEECH STREET
13	PH00102397	OTHER	OHIO	NATIONWIDE
14	7218526	OTHER	OHIO	CIGNA
15	4433600	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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