MR. SOSTHENE MBALLA NDOMO NP
NPI 1750050522
Licensed Practical Nurse in Alexandria, VA
About Mr. Sosthene Mballa Ndomo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SOSTHENE MBALLA NDOMO NP (NPI 1750050522) is an individual licensed practical nurse in Alexandria, Virginia, licensed in Virginia (0024182625) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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
Mr. Sosthene Mballa Ndomo Np 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 Reassignments
2Medicare enrollment records show Sosthene Ndomo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lorton, VA 22079
- Reassigned Medicare billing, Virginia enrollment
- 8 clinicians in this Medicare group
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 167 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Alexandria Hospital
Acute Care Hospitals · Alexandria, VAReston Hospital Center
Acute Care Hospitals · Reston, VAInova Mount Vernon Hospital
Acute Care Hospitals · Alexandria, VAMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Sosthene Ndomo's NPI number?
The NPI number for Sosthene Ndomo is 1750050522. It was assigned to this individual provider in the NPPES registry on September 7, 2021. The provider is also known as Sosthene Ndomo Mballa Np.
Where is Sosthene Ndomo located?
Sosthene Ndomo practices at 6463 Rockshire Ct, Alexandria, VA 22315. The listed phone number is (571) 208-6962.
What is Sosthene Ndomo's specialty?
The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.
Is Sosthene Ndomo enrolled in Medicare?
Yes. Sosthene Ndomo 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 organizations bill Medicare for Sosthene Ndomo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sosthene Ndomo reassigns Medicare benefits to 2 organizations: Virginia Critical Care PLLC (Lorton, VA) and Inova Health Care Services (Falls Church, VA). Each 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 Sosthene Ndomo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sosthene Ndomo accept?
Health plans from Oscar Health list Sosthene Ndomo 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 Sosthene Ndomo affiliated with any hospitals?
According to CMS data, Sosthene Ndomo is affiliated with Inova Alexandria Hospital, Reston Hospital Center and Inova Mount Vernon Hospital.
When was this NPI record last updated?
The NPPES record for Sosthene Ndomo was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Sosthene Mballa Ndomo, NP · NPI 1750050522
Licensed Practical Nurse provider in Alexandria, Virginia. Individual provider, active in the CMS NPPES registry since September 7, 2021.
## Identity
- **NPI:** 1750050522 (Entity type: Individual)
- **Enumerated:** September 7, 2021
- **Primary specialty:** Licensed Practical Nurse · taxonomy 164W00000X
- **State license:** 0024182625 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6463 ROCKSHIRE CT, Alexandria, VA 22315-3428
- **Phone:** (571) 208-6962
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Virginia Critical Care PLLC (NPI 1053067348, Lorton, VA); Inova Health Care Services (NPI 1952320061, Falls Church, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 23, 2026
- **Other identifiers:** Other 0024182625 (VA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1750050522) · Data from the CMS NPPES public registry.