Individual provider Active NPI

Debora Vasquez, M.D.

  • Family Medicine Physician
  • Lorton, VA
National Provider Identifier
1154600955
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101273476 Issued in VA
Practice address
8988 Lorton Station Blvd
Lorton, VA 22079-4756
Phone
(703) 780-2800
NPI assigned
Aug 10, 2011
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101273476 VA Primary

Addresses

Primary practice location

8988 Lorton Station Blvd
Lorton, VA 22079-4756

Mailing address

220 Larkspur LN
Stafford, VA 22554-7781
Phone (787) 466-4783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, DC2 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
I20151001001158 PR Practitioner - General Practice 2668780289 Reassigns benefits to 1 organization
I20211228000489 DC Practitioner - Family Practice 2668780289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

7764 Armistead Rd
Suite 240
Lorton, VA 22079-1920
Phone (703) 780-2800

8109 Hinson Farm Rd
Suite 504
Alexandria, VA 22306-3411
Phone (703) 780-2800

9455 Lorton Market St
Suite 100
Lorton, VA 22079-1965
Phone (703) 780-2800

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101273476VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Multi-Specialty CurrentSince Jan 3, 2022 Accepting new patients
Grupo Medico Enmanuel CSP Multi-Specialty CurrentSince Aug 25, 2015 Accepting new patients
Privia Medical Group, LLC Multi-Specialty CurrentSince Jan 3, 2022 Accepting new patients
Medical Associates of Central Virginia, Inc. Multi-Specialty Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

9455 Lorton Market St
Ste 100
Lorton, VA 22079
Phone (571) 481-4547

Interoperability endpoints

  • Direct secure messaging: debora.vasquez.1@8042.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1154600955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LARKSPUR LN",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547781",
            "telephone_number": "787-466-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8988 LORTON STATION BLVD",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794756",
            "telephone_number": "703-780-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "DEBORA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101273476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

Verify at the official NPI Registry.