Active NPI
Linh Ta, PA-C
- Physician Assistant
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110007680
- Practice address
- 44084 Riverside Parkway, Suite 300
Leesburg, VA 20176-5155 - Phone
- (703) 724-7530
- Fax
- (703) 858-2870
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110007680 | VA | Primary |
Addresses
Primary practice location
44084 Riverside Parkway, Suite 300
Leesburg, VA 20176-5155
Mailing address
224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176-2704
Phone (703) 737-6010
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184256307 | Medicaid | VA | |
| 30016029960002 | Medicaid | VA | |
| 30016029960001 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
20955 Professional PLZ
Suite 200
Ashburn, VA 20147-3405
Phone (703) 729-7652
224 D Cornwall St NW
Leesburg, VA 20176-2700
44084 Riverside Pkwy
Suite 300
Leesburg, VA 20176-5102
Phone (703) 724-7530
9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920
Hospital & facility affiliations
- Inova Home Health LLC
- Inova Loudoun Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.65 of 100
- Quality
- 85.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110007680 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Medical Group, PC | Single Specialty | Current | Accepting new patients |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
224D Cornwall St NW
Leesburg, VA 20176
Phone (571) 291-3458
224D Cornwall St NW
Ste 106
Leesburg, VA 20176
Phone (703) 777-1411
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
44055 Riverside Pkwy
Ste 208
Leesburg, VA 20176
Phone (703) 729-7652
44084 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 724-7530
Interoperability endpoints
- linh.ta@lmg1.eclinicaldirectplus.com
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.
-
- Vascular Surgery Physician
- Reston, VA
- NPI 1588376321
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fairfax, VA
- NPI 1710473673
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1184256307",
"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": "44084 RIVERSIDE PARKWAY, SUITE 300",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765155",
"telephone_number": "703-724-7530",
"fax_number": "703-858-2870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TA",
"first_name": "LINH",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110007680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184256307",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30016029960002",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30016029960001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.