Active NPI
Danielle M Eganhouse, P.A.- C
- Physician Assistant
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110-005409
- Practice address
- 13135 Lee Jackson Memorial Hwy Ste 305
Fairfax, VA 22033-1909 - Phone
- (703) 359-8640
- Fax
- (703) 591-6105
- NPI assigned
- Jul 18, 2016
- Last updated
- Oct 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-005409 | VA | Primary |
Addresses
Primary practice location
13135 Lee Jackson Memorial Hwy Ste 305
Fairfax, VA 22033-1909
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
1860 Town Center Dr
Suite 240
Reston, VA 20190-5896
Phone (703) 796-1986 ext. 61986
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deganhouse438873@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-005409 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Town Center Orthopaedic Associates, P.C. | Current | Accepting new patients |
Locations
3301 Woodburn Rd
Ste 306
Annandale, VA 22003
Phone (703) 349-7434
13135 Route 50
Ste 305
Fairfax, VA 22033
Phone (703) 359-3706
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
1860 Town Center Dr
Ste 240
Reston, VA 20190
Phone (703) 327-1662
1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684
Interoperability endpoints
- deganhouse438873@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
dba Radiology Imaging Associates
- Diagnostic Radiology Physician
- Waldorf, MD
- NPI 1851829550
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635638400000",
"number": "1053764811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13135 LEE JACKSON MEMORIAL HWY STE 305",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331909",
"telephone_number": "703-359-8640",
"fax_number": "703-591-6105"
}
],
"practiceLocations": [
{
"address_1": "1860 Town Center Dr",
"address_2": "Suite 240",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201905896",
"country_code": "US",
"telephone_number": "703-796-1986 x61986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGANHOUSE",
"first_name": "DANIELLE",
"middle_name": "M",
"credential": "P.A.- C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2021-10-31",
"certification_date": "2021-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-005409",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deganhouse438873@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": "13135 Lee Jackson Memorial Hwy Ste 305",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220331909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.