AILENE D MEDALLA MD
NPI 1508252461
Family Medicine in Chesapeake, VA

Q: What is Ailene Medalla's NPI number?

The NPI number for Ailene Medalla is 1508252461. It was assigned to this individual provider in the NPPES registry on April 7, 2015. The provider is also known as Ailene Dumo MD.

Q: What is Ailene Medalla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Ailene Medalla enrolled in Medicare?

No. Ailene Medalla has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Ailene Medalla was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 07, 2015Opted out of Medicare · through Jan 1, 2028

725 VOLVO PKWY STE 100, CHESAPEAKE, VA 23320(757) 548-0076(757) 548-1652 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ailene D Medalla Md NPPES

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

AILENE D MEDALLA MD (NPI 1508252461) is an individual family medicine provider in Chesapeake, Virginia, licensed in Virginia (0101264734) and active in the NPI registry since April 2015. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508252461

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameAILENE D MEDALLACredential: MD

Location Address725 VOLVO PKWY STE 100Chesapeake, VA 23320

Mailing AddressPo Box 7068Portsmouth, VA 23707-0068 · (757) 686-3508 · Fax (757) 686-0541

Phone(757) 548-0076

Fax(757) 548-1652

Sole ProprietorYes

Enumeration DateApril 7, 2015

Last NPPES UpdateJuly 11, 2018

✔ NPI 1508252461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101264734

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

725 VOLVO PKWY STE 100, Chesapeake, VA 23320

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Other Names 1

Former Name (1)Ailene Dumo Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ailene D Medalla Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers19 claims38 services$5.52 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers14 claims15 services$1.12 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$14.89 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers21 claims21 services$4.95 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers25 claims25 services$60.39 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers29 claims29 services$213.74 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

VANESSA MARIE RAVE MD

Family Medicine

725 VOLVO PKWY STE 100
CHESAPEAKE, VA 23320

Chesapeake City (757) 548-0076

SARAH E CHEN D.O.

Internal Medicine

725 VOLVO PKWY STE 100
CHESAPEAKE, VA 23320

Chesapeake City (757) 548-0076

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 Ailene Medalla's NPI number?

The NPI number for Ailene Medalla is 1508252461. It was assigned to this individual provider in the NPPES registry on April 7, 2015. The provider is also known as Ailene Dumo MD.

Where is Ailene Medalla located?

Ailene Medalla practices at 725 Volvo Pkwy Ste 100, Chesapeake, VA 23320. The listed phone number is (757) 548-0076.

What is Ailene Medalla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ailene Medalla enrolled in Medicare?

No. Ailene Medalla has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ailene Medalla was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.