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MR. SOSTHENE MBALLA NDOMO NP
NPI 1750050522
Licensed Practical Nurse in Alexandria, VA

Active since September 07, 2021PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
6463 ROCKSHIRE CT, ALEXANDRIA, VA 22315(571) 208-6962 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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

NPI1750050522
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. SOSTHENE MBALLA NDOMOCredential: NP
Location Address6463 ROCKSHIRE CTAlexandria, VA 22315-3428
Mailing Address206 Blossom LnStafford, VA 22554-4869 · (571) 208-6962
Phone(571) 208-6962
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 7, 2021
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1750050522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in VA · 0024182625
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024182625 (VA)
6463 ROCKSHIRE CT, Alexandria, VA 22315
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Other Names 1

Former Name (1)Sosthene Ndomo Mballa Np

Other Identifiers 1

Other0024182625VA · Virginia Department Of Health Professions

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID6406238302
PECOS Enrollment IDI20220809000009
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.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services22 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Medicare 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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

Is Sosthene Ndomo affiliated with any hospitals?

According to CMS data, Sosthene Ndomo is affiliated with Inova Alexandria Hospital, Inova Fair Oaks 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 6 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.