Mr Sosthene Mballa Ndomo, NP in Alexandria, VA

Mr Sosthene Mballa Ndomo, NP is a medicare enrolled "Licensed Practical Nurse" in Alexandria, Virginia. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Intensive Care Consortium Inc, Inova Health Care Services and his current practice location is 6463 Rockshire Ct, Alexandria, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 208-6962.

Mr Sosthene Mballa Ndomo is licensed to practice in Virginia (license number 0024182625) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750050522.

Contact Information

	Mr Sosthene Mballa Ndomo, NP
	6463 Rockshire Ct, Alexandria, VA 22315-3428
	(571) 208-6962
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Sosthene Mballa Ndomo
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	6463 Rockshire Ct, Alexandria, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Sosthene Mballa Ndomo graduated from nursing school in 2021

NPI Data:

NPI Number: 1750050522
Provider Enumeration Date: 09/07/2021
Last Update Date: 02/23/2026

Medicare PECOS Information:

PECOS PAC ID: 6406238302
Enrollment ID: I20220810003342

Medical Identifiers

Medical identifiers for Mr Sosthene Mballa Ndomo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750050522	NPI	-	NPPES
0024182625	Other	VA	VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	0024182625 (Virginia)	Primary
363L00000X	Nurse Practitioner	0024182625 (Virginia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Inova Alexandria Hospital	Alexandria, VA	Hospital
Reston Hospital Center	Reston, VA	Hospital
Inova Mount Vernon Hospital	Alexandria, VA	Hospital
Inova Fair Oaks Hospital	Fairfax, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intensive Care Consortium Inc	0244269413	479
Inova Health Care Services	2466351093	1833

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Sosthene Mballa Ndomo allows following entities to bill medicare on his behalf.

Entity Name	Virginia Critical Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053067348 PECOS PAC ID: 7315328523 Enrollment ID: O20220719003921

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Sosthene Mballa Ndomo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Sosthene Mballa Ndomo, NP 206 Blossom Ln, Stafford, VA 22554-4869 Ph: (571) 208-6962	Mr Sosthene Mballa Ndomo, NP 6463 Rockshire Ct, Alexandria, VA 22315-3428 Ph: (571) 208-6962

Reviews and Comments

Licensed Practical Nurse Nurses in Alexandria, VA

Milva Mccallum, NP Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1451 Belle Haven Rd, Ste 110, Alexandria, VA 22307 Phone: 703-765-6093 Fax: 703-765-7761
Josephine Nwalipenja, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5250 Valley Forge Dr Apt 407, Alexandria, VA 22304 Phone: 240-478-0363
Gifty Opoku, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6200 N Kings Hwy Apt 340, Alexandria, VA 22303 Phone: 703-296-6853
Ms. Saffie Deen, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 8850 Richmond Hwy, 200, Alexandria, VA 22309 Phone: 703-704-7004 Fax: 703-799-1053
Ms. Evangeline Chinwe Gaines, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 S Bragg St # 401, Alexandria, VA 22312 Phone: 703-814-5106
Fattu Sesay, Licensed Practical Nurse Medicare: May Accept Medicare Assignments Practice Location: 4850 Mark Center Dr Fl 9, Alexandria, VA 22311 Phone: 703-746-3400
Ms. Michelle Yvonne Stevens, LPN Licensed Practical Nurse Medicare: May Accept Medicare Assignments Practice Location: 4850 Mark Center Dr, Alexandria, VA 22311 Phone: 703-746-3400 Fax: 703-519-6505

Mr Sosthene Mballa Ndomo, NP - Medicare Nurse Practitioner in Alexandria, VA