Individual provider Active NPI

Gina Marie Famiglietti, MPAS, PA-C

  • Physician Assistant
  • Silver Spring, MD
National Provider Identifier
1053935932
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2415 Musgrove Road
Suite 105
Silver Spring, MD 20904
Phone
(301) 989-0193
NPI assigned
Jun 5, 2020
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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 Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 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
I20201028000442 DC Practitioner - Physician Assistant 4688084924 Reassigns benefits to 1 organization
I20260227002483 PA Practitioner - Physician Assistant 4688084924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5900 Corporate Dr
Suite 200
Pittsburgh, PA 15237-7005
Phone (412) 369-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Orthopaedics & Sports Medicine, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Tri-State Orthopaedics & Sports Medicine, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Aug 10, 2022 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Aug 10, 2022 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

  • Direct secure messaging: gfamiglietti987583@direct.hopkinsmedicine.org

Organizations & group practices 5

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 1

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1053935932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD",
            "address_2": "STE 105",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE ROAD",
            "address_2": "SUITE 105",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20904",
            "telephone_number": "301-989-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMIGLIETTI",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.