Individual provider Active NPI

Arlene Keller Suros, PA-C

  • Physician Assistant
  • Arlington, VA
National Provider Identifier
1205165016
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003174 Issued in VA
Practice address
1625 N George Mason Dr
Suite 425
Arlington, VA 22205-3683
Phone
(703) 717-4400
Fax
(703) 717-4401
NPI assigned
Dec 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003174 VA Primary
Physician Assistant 363A00000X PA030638 DC
Physician Assistant 363A00000X C0004120 MD

Addresses

Primary practice location

1625 N George Mason Dr
Suite 425
Arlington, VA 22205-3683

Mailing address

1625 N George Mason Dr
Suite 425
Arlington, VA 22205-3683

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
I20160928000302 DC Practitioner - Physician Assistant 5698724813 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

Practice addresses (Care Compare)

1625 N George Mason Dr
425 VHC Phy GRP OB Hospitalists
Arlington, VA 22205-3686
Phone (703) 717-4502

1701 N George Mason Dr
Arlington, VA 22205-3698

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA030638DCMDPhysician Assistant
C0004120MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC CurrentSince Aug 8, 2016 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Aug 8, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 2, 2025 Accepting new patients
MGMC LLC CurrentSince Jan 1, 2023 Accepting new patients
Inpatient Medical Services, P.a. Past Accepting new patients
University Healthcare System, LC Past Accepting new patients

Locations

3800 Reservoir Rd NW
Fl 2
Washington, DC 20007
Phone (202) 444-3023

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

1625 N George Mason Dr
Ste 425
Arlington, VA 22205
Phone (703) 717-4400

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: asuros10374@direct.virginiahospitalcenter.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1205165016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR",
            "address_2": "SUITE 425",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR",
            "address_2": "SUITE 425",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053683",
            "telephone_number": "703-717-4400",
            "fax_number": "703-717-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUROS",
        "first_name": "ARLENE",
        "middle_name": "KELLER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003174",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030638",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.