Individual provider Active NPI

Camilla C. Hersh, M.D.

  • Obstetrics & Gynecology Physician
  • Reston, VA
National Provider Identifier
1114996071
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101040930 Issued in VA
Practice address
1800 Town Center Drive Suite 220
Reston, VA 20190-3238
Phone
(703) 435-2555
Fax
(571) 926-8910
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101040930 VA Primary

Addresses

Primary practice location

1800 Town Center Drive Suite 220
Reston, VA 20190-3238

Mailing address

224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other identifiers 3

IdentifierTypeStateIssuer
1114996071MedicaidVA
30015952540002MedicaidVA
P01240011OtherDCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080916000277 DC Practitioner - Obstetrics/Gynecology 9032286182 Reassigns benefits to 2 organizations
I20160429001565 VA Practitioner - Obstetrics/Gynecology 9032286182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

15225 Shady Grove Rd
Suite 306
Rockville, MD 20850-3275
Phone (301) 869-7644

1860 Town Ctr Dr
Suite 120
Reston, VA 20190-5898
Phone (703) 724-9474

19450 Deerfield Ave
Suite 375
Leesburg, VA 20176-6822
Phone (571) 789-1846

2301 Research Blvd
Suite 210
Rockville, MD 20850-3293
Phone (301) 569-6301

2301 Research Blvd
Suite 215
Rockville, MD 20850-3204
Phone (301) 424-3444

9420 Key W Ave
Suite 415
Rockville, MD 20850-3334
Phone (301) 279-9400

9711 Medical Ctr Dr
Suite 109
Rockville, MD 20850-3381
Phone (301) 762-5501

9711 Medical Ctr Dr
Suite 320
Rockville, MD 20850-3386
Phone (301) 330-5401

9715 Medical Ctr Dr
Suite 415
Rockville, MD 20850-6312
Phone (301) 424-1696

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101040930VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC Current Accepting new patients
Loudoun Medical Group, PC Obstetrics & Gynecology CurrentSince Oct 1, 2013 Accepting new patients
Loudoun Medical Group, PC CurrentSince Oct 1, 2013 Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology CurrentSince Feb 1, 2026 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology Past Accepting new patients

Locations

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

5249 Duke St
Ste 100
Alexandria, VA 22304
Phone (703) 370-2814

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

19450 Deerfield Ave
Ste 375
Leesburg, VA 20176
Phone (571) 789-1846

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

1860 Town Center Dr
Ste 120
Reston, VA 20190
Phone (703) 656-9805

1850 Town Center Pkwy
Ste 459
Reston, VA 20190
Phone (410) 825-7000

1800 Town Center Dr
Ste 220
Reston, VA 20190
Phone (703) 435-2555

Interoperability endpoints

  • Direct secure messaging: camilla.hersh@lmg1.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1114996071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224-D CORNWALL STREET, NW, SUITE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DRIVE SUITE 220",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903238",
            "telephone_number": "703-435-2555",
            "fax_number": "571-926-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "CAMILLA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101040930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114996071",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015952540002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01240011",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.