Individual provider Active NPI

Germeen Adel Sidarous, PA

  • Physician Assistant
  • Fort Washington, MD
National Provider Identifier
1063125524
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11701 Livingston Rd Ste 302
Fort Washington, MD 20744-5146
Phone
(301) 292-6010
NPI assigned
Dec 29, 2022
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

11701 Livingston Rd Ste 302
Fort Washington, MD 20744-5146

Mailing address

6932 Fairfax Dr Unit 304
Arlington, VA 22213-1030
Phone (703) 625-6648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230314001018 DC Practitioner - Physician Assistant 7719351790 Reassigns benefits to 2 organizations
I20230713000852 MD Practitioner - Physician Assistant 7719351790 Reassigns benefits to 1 organization
I20241127003118 VA Practitioner - Physician Assistant 7719351790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11701 Livingston Rd
Suite 302
Ft Washington, MD 20744-5146
Phone (301) 292-6010

2401 Research Blvd
Suite 260
Rockville, MD 20850-3261
Phone (301) 990-6565

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
78.27
Promoting interoperability
91
Improvement activities
20
Cost
74.08

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
78.47
Promoting interoperability
83
Improvement activities
40
Cost
82.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC CurrentSince Mar 6, 2023 Accepting new patients
Advanced Dermatology of Maryland PC CurrentSince Aug 1, 2023 Accepting new patients
Advanced Dermatology of Maryland PC CurrentSince Mar 6, 2023 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

11701 Livingston Rd
Ste 302
Ft Washington, MD 20744
Phone (301) 292-6010

101 Centennial St
Ste H
La Plata, MD 20646
Phone (301) 292-6010

2401 Research Blvd
Ste 260
Rockville, MD 20850
Phone (301) 990-6565

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

Interoperability endpoints

  • Direct secure messaging: germeen.sidarous@adcs1.emadirect.md
  • FHIR API: https://api.platform.athenahealth.com/6533/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1063125524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 FAIRFAX DR UNIT 304",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222131030",
            "telephone_number": "703-625-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON RD STE 302",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445146",
            "telephone_number": "301-292-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDAROUS",
        "first_name": "GERMEEN",
        "middle_name": "ADEL",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

Verify at the official NPI Registry.