Gina Marie Famiglietti, MPAS, PA-C
Individual provider Active NPI Physician Assistant · Silver Spring, MD
NPI 1053935932 · NPPES record last updated Oct 7, 2020
Key facts
- NPI
- 1053935932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2415 Musgrove Road
Suite 105
Silver Spring, MD 20904 - Phone
- (301) 989-0193
- NPI assigned
- Jun 5, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-State Orthopaedics and Sports Medicine, Inc.
Practice addresses (Care Compare)
5900 Corporate Dr
Suite 200
Pittsburgh, PA 15237-7005
Phone (412) 369-4000
Hospital & facility affiliations
- Adventist Healthcare Shady Grove Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201028000442 | DC | Practitioner - Physician Assistant | 4688084924 | Reassigns benefits to 1 organization |
| I20260227002483 | PA | Practitioner - Physician Assistant | 4688084924 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Current |
Accepting new patients | |
| Tri-State Orthopaedics & Sports Medicine, Inc. | Current |
Accepting new patients | |
| Tri-State Orthopaedics & Sports Medicine, Inc. | Current |
Accepting new patients | |
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Current |
Accepting new patients |
Locations
10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414
5900 Corporate Dr
Ste 200
Pittsburgh, PA 15237
Phone (412) 369-4000
400 Northpointe Cir
Ste 101
Seven Fields, PA 16046
Phone (412) 848-1826
1635 N George Mason Dr
Ste 180
Arlington, VA 22205
Phone (703) 276-7798
Interoperability endpoints
- gfamiglietti987583@direct.hopkinsmedicine.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2415 Musgrove Road
Suite 105
Silver Spring, MD 20904
Mailing address
2415 Musgrove Rd
Ste 105
Silver Spring, MD 20904-5224
Other providers in Silver Spring, MD
- Faith Simiyu DMD
- Adenike Janet Falade
- Mariana Falconier
- Larissa Kounga Faleu
- Maureen B Fama
- Family Care Associates
- Family Care Associates
- Family Comes 1St, LLC
- Family Foot & Ankle Associates of Maryland, PA
- Family Health Care of Silver Spring
All providers in Silver Spring, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2020. 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.