Individual provider Active NPI

Sarah E Kelleher, PA-C

  • Medical Physician Assistant
  • Gainesville, VA
National Provider Identifier
1215073663
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110002769 Issued in VA
Practice address
14535 John Marshall Hwy
Suite 105
Gainesville, VA 20155-4023
Phone
(703) 754-0425
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110002769 VA Primary

Addresses

Primary practice location

14535 John Marshall Hwy
Suite 105
Gainesville, VA 20155-4023

Mailing address

14535 John Marshall Hwy
Suite 105
Gainesville, VA 20155-4023
Phone (703) 754-0425

Other names 1

  • Sarah Steeves Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120713000115 DC Practitioner - Physician Assistant 4880694579 Reassigns benefits to 1 organization
I20141229000455 VA Practitioner - Physician Assistant 4880694579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
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)

14535 John Marshall Hwy 105
Gainesville, VA 20155-4024
Phone (703) 754-0425

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

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

Hospital & facility affiliations

  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 12, 2014 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 12, 2014 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

14535 John Marshall Hwy
Ste 105
Gainesville, VA 20155
Phone (703) 754-0425

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sarah.kelleher.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1215073663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY",
            "address_2": "SUITE 105",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554023",
            "telephone_number": "703-754-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY",
            "address_2": "SUITE 105",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554023",
            "telephone_number": "703-754-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "STEEVES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.