Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Russell Dougherty Jr., MD

Individual provider Internal Medicine Physician · NPI 1629232723

Dr. Timothy Russell Dougherty Jr., MD is a Gastroenterology in Alexandria, Virginia. Graduated from University of Maryland School of Medicine in 2008, 18 years ago. Practices with Gastroenterology Associates of Northern Virginia, LLC, a 97-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia and Virginia.

Years since qualifying
18
Trained at
University of Maryland School of Medicine
Licensed in
DC, VA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4660 Kenmore Ave Ste 100
Alexandria, VA 22304-1306
Phone: (703) 751-5763
Fax: (703) 370-8704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 0101261949 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD039006 (DC)
Gastroenterology Physician Taxonomy 207RG0100X · Licence MD039006 (DC)

Record details

NPI number1629232723
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2008
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Gastroenterology Associates Of Northern Virginia, Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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