Active NPI
Pegah Barker, PA-C
- Physician Assistant
- Arlington, VA
National Provider Identifier
1104381060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110-006553
- Practice address
- 2501 N Glebe Rd
Arlington, VA 22207-3558 - Phone
- (703) 841-1290
- NPI assigned
- Feb 5, 2019
- Last updated
- Apr 19, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0007442 | MD | |
| Physician Assistant | 363A00000X | 0110-006553 | VA | Primary |
Addresses
Primary practice location
2501 N Glebe Rd
Arlington, VA 22207-3558
Mailing address
6218 Montrose Rd Ste 303
Rockville, MD 20852-4119
Phone (703) 841-1290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44110 Ashburn Shopping PLZ
Unit 237
Ashburn, VA 20147-7912
Phone (703) 687-3105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0007442 | MD | MD | Physician Assistant |
| 0110-006553 | VA | MD | Physician Assistant |
Organizations & group practices 3
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.
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- NPI 1972095974
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1598718256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1104381060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6218 MONTROSE RD STE 303",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524119",
"telephone_number": "703-841-1290",
"fax_number": "301-255-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N GLEBE RD",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222073558",
"telephone_number": "703-841-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "PEGAH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0007442",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-006553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
- Barbara a. Stevens, M.D., P.C.
- Jana Barcelon, FNP
- Barcroft Dentistry (Hung M Nguyen, DDS)
- Barcroft Dentistry, LLC (Hung M. Nguyen,DDS)
- Barcroft Dermatology, LLC (Mai H. Nguyen, MD)
- Joan Burrows Barnett, PSY.D.
- Ana C Barnette, LPC
- Sheila Barnhart-Ramirez
- Christofer Barno, LCSW
- Thomas Baroody, LPC, NCC, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.