Individual provider Active NPI

Allyson L Ricciardiello, P.A.-C

  • Physician Assistant
  • Fairfax, VA
National Provider Identifier
1033357199
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001966 Issued in VA
Practice address
3020 Hamaker CT Ste 401
Fairfax, VA 22031-2220
Phone
(703) 849-0770
Fax
(703) 849-0774
NPI assigned
Jan 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 0110001966 VA Primary

Addresses

Primary practice location

3020 Hamaker CT Ste 401
Fairfax, VA 22031-2220

Mailing address

3020 Hamaker CT Ste 401
Fairfax, VA 22031-2220
Phone (703) 849-0770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aricciardiello26039@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131023000016 DC Practitioner - Physician Assistant 4789819012 Reassigns benefits to 1 organization
I20151111002014 VA Practitioner - Physician Assistant 4789819012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

21785 Filigree CT
Ashburn, VA 20147-6214

3020 Hamaker CT
Suite 101
Fairfax, VA 22031-2233
Phone (703) 289-9400

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

8101 Hinson Farm Rd
Suite 408
Alexandria, VA 22306-3409
Phone (703) 780-9014

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1699COMDOccupational Therapist
0110001966VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Sep 16, 2014 Accepting new patients
Inova Health Care Services CurrentSince Aug 17, 2015 Accepting new patients
Inova Health Care Services CurrentSince Sep 16, 2014 Accepting new patients
Washington Electrophysiology LLC Past Accepting new patients

Locations

7905 Malcolm Rd
Ste 103
Clinton, MD 20735
Phone (301) 877-2150

1600 N Beauregard St
Ste 150
Alexandria, VA 22311
Phone (571) 472-0080

8100 Innovation Park Dr
Ste 110
Fairfax, VA 22031
Phone (571) 472-6464

8081 Innovation Park Dr
#602
Fairfax, VA 22031
Phone (571) 472-3270

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

3020 Hamaker Ct
Ste 101
Fairfax, VA 22031
Phone (703) 289-9400

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

13575 Heathcote Blvd
Ste 200
Gainesville, VA 20155
Phone (703) 468-2590

44055 Riverside Pkwy
Ste 118
Leesburg, VA 20176
Phone (571) 472-4600

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

14605 Potomac Branch Dr
Ste 210
Woodbridge, VA 22191
Phone (703) 620-3211

14349 Gideon Dr
Fl 2
Woodbridge, VA 22192
Phone (571) 472-8760

Interoperability endpoints

  • Direct secure messaging: aricciardiello26039@soc.inova.org

Organizations & group practices 4

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 2

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1033357199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE 401",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312220",
            "telephone_number": "703-849-0770",
            "fax_number": "703-849-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE 401",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312220",
            "telephone_number": "703-849-0770",
            "fax_number": "703-849-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDIELLO",
        "first_name": "ALLYSON",
        "middle_name": "L",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aricciardiello26039@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8081 Innovation Park Dr # 602",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.