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BOBBY SE MD
NPI 1114657152
Internal Medicine in Falls Church, VA

Active since June 13, 2022PECOS Enrolled
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-3582 Get Directions Write a Review

NPPES record last updated: August 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bobby Se Md NPPES

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

BOBBY SE MD (NPI 1114657152) is an individual internal medicine provider in Falls Church, Virginia, licensed in Mississippi (35104) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114657152
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBOBBY SECredential: MD
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing Address2500 N State StJackson, MS 39216-4500 · (019) 845-6156
Phone(703) 776-3582
Sole ProprietorNo
Enumeration DateJune 13, 2022
Last NPPES UpdateAugust 24, 2025
NPPES CertifiedAugust 24, 2025
✔ NPI 1114657152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 35104
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 35104 (MS)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116036429 (VA)
3300 GALLOWS RD, Falls Church, VA 22042
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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)

Bobby Se Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON ELIZABETH TWEEDIE MD
Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
DR. OLEG DOLGHI M.D
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
MRS. CHERYL ANNE FRASER NP
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4132
MISS CRYSTAL FALKE PA-C
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-3281
EMERGENCY MEDICINE ASSOCIATES
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4002
NARGES NAJMYAR PA-C
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 970-2670
SARAH MARAKOS DO
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-6652
KARA STONE YOUNG CRNA
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bobby Se's NPI number?

The NPI number for Bobby Se is 1114657152. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Bobby Se located?

Bobby Se practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-3582.

What is Bobby Se's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bobby Se enrolled in Medicare?

Yes. Bobby Se is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bobby Se was last updated on August 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.