Costanza Dieceka Rutland, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Fairfax, VA
NPI 1053484725 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1053484725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 0101240864 (VA)
- Practice address
- 3998 Fair Ridge Drive
Suite 270
Fairfax, VA 22030 - Phone
- (703) 218-5357
- Fax
- (703) 218-5358
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Howard University College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Uva Community Health Medical Group LLC
Bayhealth Medical Center, Inc
Practice addresses (Care Compare)
501 Sunset LN
Culpeper, VA 22701-3917
Phone (703) 396-5293
640 S State St
Dover, DE 19901-3530
Phone (302) 744-7400
Hospital & facility affiliations
- Uva Health Culpeper Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in DC, VA, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110104000086 | DC | Practitioner - Obstetrics/Gynecology | 4284822461 | Reassigns benefits to 1 organization |
| I20200115003243 | VA | Practitioner - Obstetrics/Gynecology | 4284822461 | Reassigns benefits to 3 organizations |
| I20251107000130 | DE | Practitioner - Obstetrics/Gynecology | 4284822461 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0028452 | DE | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Privia Medical Group, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| NMG Affiliate Practice I, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Uva Community Health Medical Group, LLC | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Obhg Virginia, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Bayhealth Medical Center, Inc. | Past | Accepting new patients | |
| Reston Pelvic Surgery Associates LLC | Past | Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
4105 Lewis and Clark Dr
Charlottesvle, VA 22911
501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100
3998 Fair Ridge Dr
Ste 270
Fairfax, VA 22033
Phone (703) 352-3522
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
8644 Sudley Rd
#220
Manassas, VA 20110
13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C1-0028452 | DE | |
| Obstetrics & Gynecology Physician | 207V00000X | 0101240864 | VA | Yes |
Addresses
Primary practice location
3998 Fair Ridge Drive
Suite 270
Fairfax, VA 22030
Mailing address
3998 Fair Ridge Dr Ste 270
Fairfax, VA 22033-2907
Phone (703) 218-5357
Other providers in Fairfax, VA
- Susan Lee Russo
- Cristina Flora Russu
- Lindsey Meredith Rust
- Catherine Ruth
- Lisa Ruthel
- David W Ruxer
- Rxhere LLC
- William T. Ryals Jr.
- Danielle Hoexter Ryan
- Donna S Ryan
All providers in Fairfax, VA · Obstetrics & Gynecology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.