AILENE D. MEDALLA MD – NPI #1508252461
Family Medicine

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.

AILENE MEDALLA is a physician located in CHESAPEAKE, VA. NPPES has assigned the NPI number 1508252461 to AILENE MEDALLA on April 07, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name AILENE DUMO. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Jul 11, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AILENE MEDALLA below.

NPI Profile for
AILENE D. MEDALLA

NPI Number
1508252461
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AILENE D. MEDALLA
Former Name: AILENE DUMO
Credentials
MD
Primary location
725 VOLVO PKWY STE 100
CHESAPEAKE, VA 23320
Phone: (757) 548-0076 Fax: (757) 548-1652
Mailing address
PO BOX 7068
PORTSMOUTH, VA 23707-0068
Phone: (757) 686-3508 Fax: (757) 686-0541
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
VA 0101264734
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AILENE MEDALLA is affiliated with the following medical group(s):
  • HOSPITAL
    • BON SECOURS MARYVIEW MEDICAL CENTER
      3636 HIGH STREET
      PORTSMOUTH, VA 23707
    • CHESAPEAKE GENERAL HOSPITAL
      736 BATTLEFIELD BLVD, NORTH
      CHESAPEAKE, VA 23320
    • SENTARA LEIGH HOSPITAL
      830 KEMPSVILLE ROAD
      NORFOLK, VA 23502
    • SENTARA PRINCESS ANNE HOSPITAL
      2025 GLENN MITCHELL DRIVE
      VIRGINIA BEACH, VA 23456
    • SENTARA VIRGINIA BEACH GENERAL HOSPITAL
      1060 FIRST COLONIAL ROAD
      VIRGINIA BEACH, VA 23454
  • HOME HEALTH AGENCY
    • COMFORT CARE HOME HEALTH AND HOSPICE
      1301 EXECUTIVE BLVD. SUITE 200
      CHESAPEAKE, VA 23320

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