NPIMap

Individual provider Active NPI

David J Pope, PA

  • Medical Physician Assistant
  • Manassas, VA
National Provider Identifier
1053645978
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003156 Issued in VA
Practice address
9625 Surveyor Court
Suite 320
Manassas, VA 20110
Phone
(571) 921-4877
Fax
(571) 208-0585
NPI assigned
Sep 24, 2009
Last updated
May 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003156 VA
Medical Physician Assistant 363AM0700X 0110003156 VA Primary

Addresses

Primary practice location

9625 Surveyor Court
Suite 320
Manassas, VA 20110

Mailing address

9625 Surveyor Court
Suite 320
Manassas, VA 20110
Phone (571) 921-4877

Other identifiers 1

IdentifierTypeStateIssuer
1053645978MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD, WV, PA5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20091106000395 VA Practitioner - Physician Assistant 6507904836 Reassigns benefits to 1 organization
I20091209000116 DC Practitioner - Physician Assistant 6507904836 Reassigns benefits to 2 organizations
I20221213000020 MD Practitioner - Physician Assistant 6507904836 Reassigns benefits to 2 organizations
I20240202003586 WV Practitioner - Physician Assistant 6507904836 Reassigns benefits to 1 organization
I20250221000464 PA Practitioner - Physician Assistant 6507904836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Spine Specialists of Maryland LLCGroup PAC ID 2668628124, 32 clinicians

Practice addresses (Care Compare)

101 Trich Dr
Suite 4
Washington, PA 15301-5989
Phone (724) 705-1345

2614 Memorial Blvd
Suite a
Connellsville, PA 15425-1405
Phone (724) 858-4662

4604 Spotsylvania Pkwy
Suite 345
Fredericksburg, VA 22408-7767
Phone (571) 921-4877

8650 Sudley Rd
Suite 315
Manassas, VA 20110-4416

9625 Surveyor CT
Suite 320
Manassas, VA 20110-4408

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2792WVMDProfessional Counselor
0110003156VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Nov 21, 2023 Accepting new patients
University Hematology and Oncology CurrentSince Nov 21, 2023 Accepting new patients
Virginia Spine Specialists, PLLC CurrentSince Feb 6, 2017 Accepting new patients
Spotsylvania Medical Center Inc. PastSince Feb 6, 2017 Accepting new patients

Locations

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

4604 Spotsylvania Pkwy
Ste 300
Fredericksburg, VA 22408
Phone (540) 423-6600

8650 Sudley Rd
Ste 315
Manassas, VA 20110
Phone (703) 878-0965

9625 Surveyor Ct
Ste 320
Manassas, VA 20110
Phone (571) 208-0585

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: david.pope.1@11878.direct.athenahealth.com
  • Direct secure messaging: david.pope.2@11878.direct.athenahealth.com
  • FHIR API: https://apps.mywvuchart.com/fhirproxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIBJAD/Endpoint/BIBJAD

Organizations & group practices 8

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

Hospital & facility affiliations 11

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1053645978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 SURVEYOR COURT",
            "address_2": "SUITE 320",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "571-921-4877",
            "fax_number": "571-208-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 SURVEYOR COURT",
            "address_2": "SUITE 320",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "571-921-4877",
            "fax_number": "571-208-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003156",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053645978",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.