Individual provider Active NPI

Ellsworth J Stay, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Arlington, VA
National Provider Identifier
1083647531
Registry record updated Oct 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0101-029766 Issued in VA
Practice address
1625 N George Mason Dr
Pathology Dept
Arlington, VA 22205-3683
Phone
(703) 558-6541
Fax
(502) 456-4440
NPI assigned
Jul 8, 2006
Last updated
Oct 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101-029766 VA Primary

Addresses

Primary practice location

1625 N George Mason Dr
Pathology Dept
Arlington, VA 22205-3683

Mailing address

PO Box 7308
Arlington, VA 22207-0308
Phone (800) 292-1387

Other identifiers 15

IdentifierTypeStateIssuer
1022-0004OtherDCCAREFIRST BLUE CROSS DC
506849OtherNATIONAL CAPITAL PPO
96-2465316OtherDCWORKERS COMP DC
006601782MedicaidVA
16699OtherGEORGE WASHINGTON UNIV
11-00210OtherUNITED HEALTHCARE
490050CC62678OtherSECTION 1011 MEDICARE
220017496OtherRAILROAD MEDICARE
879500200MedicaidMD
033007700MedicaidDC
240523OtherVAANTHEM BLUE CROSS BS
339836OtherOPTIMUM CHOICE
339836OtherMAMSI
339836OtherMDIPA
1305167OtherUNITED MINE WORKERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101-029766VAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph J Buchino MD & Associates PSC Anatomic Pathology & Clinical Pathology Current Accepting new patients

Locations

1625 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791676800000",
    "number": "1083647531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7308",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222070308",
            "telephone_number": "800-292-1387",
            "fax_number": "502-456-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR",
            "address_2": "PATHOLOGY DEPT",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053683",
            "telephone_number": "703-558-6541",
            "fax_number": "502-456-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAY",
        "first_name": "ELLSWORTH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101-029766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS DC",
            "identifier": "1022-0004",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CAPITAL PPO",
            "identifier": "506849",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP DC",
            "identifier": "96-2465316",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006601782",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGE WASHINGTON UNIV",
            "identifier": "16699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "11-00210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011 MEDICARE",
            "identifier": "490050CC62678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220017496",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "879500200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033007700",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BS",
            "identifier": "240523",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "339836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "339836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "339836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1305167",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.