Individual provider Active NPI

Sarah Susan Fletcher, MD

  • Family Medicine Physician
  • Sterling, VA
National Provider Identifier
1184610578
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101050725 Issued in VA
Practice address
21135 Whitfield PL Ste 107
Sterling, VA 20165-7279
Phone
(703) 421-7000
Fax
(703) 430-4830
NPI assigned
Sep 21, 2005
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 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 0101050725 VA Primary

Addresses

Primary practice location

21135 Whitfield PL Ste 107
Sterling, VA 20165-7279

Mailing address

21135 Whitfield PL Ste 107
Sterling, VA 20165-7279
Phone (703) 850-8215

Other identifiers 1

IdentifierTypeStateIssuer
1184610578MedicaidVA

Other names 1

  • Sarah Susan Johnston Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090804000379 VA Practitioner - Family Practice 8325191695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Family Medical PLLCGroup PAC ID 6204235203, 2 clinicians

Practice addresses (Care Compare)

21135 Whitfield PL
Suite 107
Sterling, VA 20165-7279
Phone (703) 421-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101050725VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Family Medical PLLC Family Medicine CurrentSince Feb 22, 2021 Accepting new patients
Loudoun Medical Group, PC CurrentSince Apr 1, 2020 Accepting new patients
Loudoun Medical Group, PC Family Medicine CurrentSince Apr 1, 2020 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
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

44055 Riverside Pkwy
#20811302
Leesburg, VA 20176
Phone (703) 729-7652

21135 Whitfield Pl
Ste 107
Sterling, VA 20165
Phone (703) 421-7000

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1184610578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21135 WHITFIELD PL STE 107",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657279",
            "telephone_number": "703-850-8215",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21135 WHITFIELD PL STE 107",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657279",
            "telephone_number": "703-421-7000",
            "fax_number": "703-430-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "SARAH",
        "middle_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-05-11",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101050725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184610578",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "JOHNSTON",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.