ROOSEVELT DEAN JR. DO
NPI 1245486802
Family Medicine in King George, VA
About Roosevelt Dean Jr. Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROOSEVELT DEAN JR. DO (NPI 1245486802) is an individual family medicine provider in King George, Virginia, licensed in Virginia (0102202137) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Roosevelt Dean Jr. Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Roosevelt Dean reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 1,534 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mary Washington Hospital
Acute Care Hospitals · Fredericksburg, VASpotsylvania Regional Medical Center
Acute Care Hospitals · Fredericksburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22485 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Roosevelt Dean's NPI number?
The NPI number for Roosevelt Dean is 1245486802. It was assigned to this individual provider in the NPPES registry on August 14, 2008.
Where is Roosevelt Dean located?
Roosevelt Dean practices at 11131 Journal Parkway, King George, VA 22485. The listed phone number is (540) 625-2527.
What is Roosevelt Dean's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Roosevelt Dean enrolled in Medicare?
Yes. Roosevelt Dean is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Roosevelt Dean's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roosevelt Dean reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roosevelt Dean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roosevelt Dean accept?
Health plans from Oscar Health list Roosevelt Dean as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Roosevelt Dean affiliated with any hospitals?
According to CMS data, Roosevelt Dean is affiliated with Mary Washington Hospital and Spotsylvania Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Roosevelt Dean was last updated on March 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Roosevelt Dean Jr., DO · NPI 1245486802
Family Medicine physician in King George, Virginia. Individual provider, active in the CMS NPPES registry since August 14, 2008.
## Identity
- **NPI:** 1245486802 (Entity type: Individual)
- **Enumerated:** August 14, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0102202137 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 11131 JOURNAL PARKWAY, King George, VA 22485
- **Phone:** (540) 625-2527 · **Fax:** (540) 709-7211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Privia Medical Group, LLC (NPI 1013042480, Arlington, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2000
## Record status
- **NPPES last updated:** March 6, 2015
- **Other identifiers:** Medicaid 1245486802 (VA); Medicare PIN 1245486802 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1245486802) · Data from the CMS NPPES public registry.