DR. BRONSON ELIZABETH DELASOBERA (MD) – Sports Medicine (Emergency Medicine) Physician, NPI 1255599742

DR. BRONSON ELIZABETH DELASOBERA (MD) is a healthcare provider. based in Mc lean, Virginia. specializing in SPORTS MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD039254 (DC). The NPI Number for DR. BRONSON ELIZABETH DELASOBERA (MD) is 1255599742

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRONSON ELIZABETH DELASOBERA (MD)
NPI
1255599742
Phone
(703) 288-2790
Address
6858 OLD DOMINION DR
Enumeration Date
30 May 2008
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
3375711138
Group Practice PAC ID
0547413825
Professional Enrollment ID
I20190605000090
Address ID
DC200083030WA3007XNWXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

185 SPORTS MEDICINE in VA

Provider Addresses for DR. BRONSON ELIZABETH DELASOBERA (MD)

  • 6858 OLD DOMINION DR

    MC LEAN, VA 221013899

    Phone: (703) 288-2790

    Fax: (703) 997-7272

    Type: Location

  • 3800 Reservoir Rd NW

    Washington, DC 200072113

    Phone: (202) 444-2119

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110721000341IEmergency MedicineDCTBD
I20190605000090IEmergency MedicineMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6513$0
99214Established patient office or other outpatient visit, 30-39 minutes2815$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1711$0
View full utilization report →

Insurance plans in this area (ZIP 22101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547413825View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MD
-MD
-MD
-MD
Internal MedicineMD
Critical Care (Intensivists), Sleep Medicine, Pulmonary DiseaseMD
-MD
Diagnostic Radiology, Interventional RadiologyPA
Geriatric Medicine, Internal MedicineMD
Orthopedic SurgeryMD

Reviews

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Frequently asked questions

Does DR. BRONSON ELIZABETH DELASOBERA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. BRONSON ELIZABETH DELASOBERA (MD) uses 1255599742.
Is DR. BRONSON ELIZABETH DELASOBERA (MD) still practicing?
DR. BRONSON ELIZABETH DELASOBERA (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. BRONSON ELIZABETH DELASOBERA (MD)?
For research purposes, treat DR. BRONSON ELIZABETH DELASOBERA (MD) as Sports Medicine (Emergency Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. BRONSON ELIZABETH DELASOBERA (MD) based?
DR. BRONSON ELIZABETH DELASOBERA (MD) is tied to Mc Lean, Virginia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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