Individual provider Active NPI

Axel A Lucca, PA

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1124498944
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005033 Issued in VA
Practice address
6218 N Kings Hwy Ste B
Alexandria, VA 22303-2442
Phone
(571) 560-2621
Fax
(571) 560-2622
NPI assigned
Oct 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 0110005033 VA Primary

Addresses

Primary practice location

6218 N Kings Hwy Ste B
Alexandria, VA 22303-2442

Mailing address

PO Box 791775
Baltimore, MD 21279-1775
Phone (571) 302-5000

Other practice location 1

6230 Rolling Rd Ste J
Springfield, VA 22152-2326
Phone (571) 889-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20230831000913 VA Practitioner - Physician Assistant 0446542369 Reassigns benefits to 1 organization
I20240326001027 DC Practitioner - Physician Assistant 0446542369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

11670 Sudley Manor Dr
Manassas, VA 20109-2842
Phone (571) 569-3526

1208 W Broad St
Suite D
Falls Church, VA 22046-2116
Phone (571) 766-8927

13039 Route 50
Suite C
Fairfax, VA 22033-2047
Phone (571) 307-2594

1340 Old Chain Bridge Rd
Suite 101
MC Lean, VA 22101-3909
Phone (703) 893-2273

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

4600 Kenmore Ave
Alexandria, VA 22304-1301
Phone (571) 506-1847

6206 Rolling Rd
Springfield, VA 22152-2306
Phone (571) 889-3235

6371 Seven Corners Ctr
Falls Church, VA 22044-2410
Phone (571) 286-5872

6671 A Backlick Rd
Springfield, VA 22150-2702
Phone (571) 286-5592

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deardorff & Camacho Past Accepting new patients
Panamerican Internal Medicine, P.C. PastSince Mar 23, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alucca1172598@soc.inova.org

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 and National Provider Directory roles.

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1124498944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791775",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791775",
            "telephone_number": "571-302-5000",
            "fax_number": "571-302-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 N KINGS HWY STE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032442",
            "telephone_number": "571-560-2621",
            "fax_number": "571-560-2622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6230 Rolling Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221522326",
            "country_code": "US",
            "telephone_number": "571-889-3235",
            "fax_number": "571-889-3236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCCA",
        "first_name": "AXEL",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.