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QI DONG
NPI 1073209631
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 17, 2023PECOS Enrolled
1215 LEE ST BOX '800377', CHARLOTTESVILLE, VA 22908(434) 924-9400(434) 243-6731 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Qi Dong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QI DONG (NPI 1073209631) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0116038927) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073209631
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameQI DONG
Location Address1215 LEE ST BOX '800377'Charlottesville, VA 22908-0816
Mailing Address1215 Lee St Box '800377'Charlottesville, VA 22908-0816 · (434) 924-9400 · Fax (434) 243-6731
Phone(434) 924-9400
Fax(434) 243-6731
Sole ProprietorNo
Enumeration DateApril 17, 2023
Last NPPES UpdateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1073209631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in VA · 0116038927
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1215 LEE ST BOX '800377', Charlottesville, VA 22908
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Qi Dong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

What is Qi Dong's NPI number?

The NPI number assigned to this healthcare provider is 1073209631, enumerated as an "individual" on April 17, 2023.

Where is the provider located?

The provider is located at 1215 LEE ST BOX '800377' CHARLOTTESVILLE, VA 22908 and the phone number is (434) 924-9400.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.