NPIMap

Individual provider Active NPI

Darin Michael Updyke, PA

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1023056793
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001109 Issued in VA
Practice address
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone
(540) 741-1167
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001109 VA Primary

Addresses

Primary practice location

1001 Sam Perry Blvd
Fredericksburg, VA 22401

Mailing address

PO Box 888
Fredericksburg, VA 22404
Phone (866) 898-7138

Other identifiers 2

IdentifierTypeStateIssuer
P00183387OtherRAILROAD MEDICARE
010105226MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826001317 VA Practitioner - Physician Assistant 4587639299 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
MWHC Urgent Care LLCGroup PAC ID 8921338427, 20 clinicians
Old Mission Wound Care Virginia PLLCGroup PAC ID 9739629494, 7 clinicians
Scott Wagner Integrated Medicine LLCGroup PAC ID 1153749825, 5 clinicians
Prime Care Family Care, Inc.Group PAC ID 7618959750, 14 clinicians

Practice addresses (Care Compare)

Spotsylvania, VA 22551
Phone (540) 735-4535

11131 Journal Pkwy
Suite a
King George, VA 22485-3468
Phone (540) 709-5173

1545 Crossways Blvd
Suite 250
Chesapeake, VA 23320-0218
Phone (231) 333-4388

2109 India Rd
Charlottesville, VA 22901-2886
Phone (434) 978-4888

4900 Plank Rd
Suite 101
Fredericksburg, VA 22407-6626
Phone (540) 741-0679

9763 Courthouse Rd
Spotsylvania, VA 22553-1915
Phone (540) 786-1200

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001109VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
KG Industries Physician Assistant CurrentSince Apr 12, 2026 Accepting new patients
MWHC Urgent Care LLC CurrentSince Feb 1, 2021 Accepting new patients
Stafford Primary Care Associates, Inc. Current Accepting new patients
KG Industries CurrentSince Apr 12, 2026 Accepting new patients
Scott Wagner Integrated Medicine LLC CurrentSince Feb 1, 2026 Accepting new patients
King George Medical Center LTD Past Accepting new patients

Locations

2109 India Rd
Charlottesvle, VA 22901
Phone (276) 685-1185

10 Stafford Lakes Pkwy
Ste 102
Fredericksburg, VA 22406
Phone (540) 737-6144

4900 Plank Rd
#101
Fredericksburg, VA 22407
Phone (540) 741-0679

11131 Journal Pkwy
Ste A
King George, VA 22485
Phone (540) 709-5173

422 Garrisonville Rd
Ste 111
Stafford, VA 22554
Phone (540) 657-9441

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1023056793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22404",
            "telephone_number": "866-898-7138",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-741-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPDYKE",
        "first_name": "DARIN",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00183387",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010105226",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.