Individual provider Active NPI

Lyle Joseph Ritch, PA

  • Physician Assistant
  • Reston, VA
National Provider Identifier
1144569732
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004155 Issued in VA
Practice address
1850 Town Center Pkwy Ste 550
Reston, VA 20190-3300
Phone
(703) 876-4270
NPI assigned
Feb 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 0110004155 VA Primary

Addresses

Primary practice location

1850 Town Center Pkwy Ste 550
Reston, VA 20190-3300

Mailing address

17704 Greenleaf PL
Round Hill, VA 20141-2272
Phone (571) 395-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130311000030 DC Practitioner - Physician Assistant 7113172578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Northern Virginia LLCGroup PAC ID 6709923915, 9 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000

1860 Town Ctr Dr
Suite G100
Reston, VA 20190-5897
Phone (703) 639-3100

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2013 Accepting new patients
Inova Health Care Services CurrentSince Jul 20, 2015 Accepting new patients
Inova Health Care Services CurrentSince Jul 20, 2015 Accepting new patients

Locations

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

3930 Pender Dr
Ste 210
Fairfax, VA 22030
Phone (703) 648-3100

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1860 Town Center Dr
Ste 440
Reston, VA 20190
Phone (571) 554-8950

1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700

1850 Town Center Pkwy
Ste 550
Reston, VA 20190
Phone (703) 437-5977

Interoperability endpoints

  • Direct secure messaging: lyle.ritch@hca6.eclinicaldirectplus.com

Organizations & group practices 7

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": "1359849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1144569732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17704 GREENLEAF PL",
            "city": "ROUND HILL",
            "state": "VA",
            "postal_code": "201412272",
            "telephone_number": "571-395-1030",
            "fax_number": "571-395-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY STE 550",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903300",
            "telephone_number": "703-876-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCH",
        "first_name": "LYLE",
        "middle_name": "JOSEPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.