Josilu Portella, PHYSICIANS ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

3620 Joseph Siewick Dr
Suite 406
Fairfax, VA 22033-1756

Phone

(703) 359-8640

Fax

(703) 591-6105

NPI assigned

Aug 4, 2006

Last updated

Oct 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jportella467716@direct.hopkinsmedicine.org

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.

• Johns Hopkins University

  dba Jhu - Transplant/Vascular Surgery

  • Transplant Surgery Physician
  • Baltimore, MD
  • NPI 1124009758

  DC

  Medicare reassignment
• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  Medicare reassignment
• Johns Hopkins University

  dba JHU - 6849 Old Dominion Drive - Physician

  • Neurology Physician
  • McLean, VA
  • NPI 1598552226
  NPD
• Johns Hopkins University

  dba JHU - 4102 Wilson Blvd

  • Multi-Specialty Clinic/Center
  • Arlington, VA
  • NPI 1790504066
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1225046303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "SUITE 406",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-359-8640",
            "fax_number": "703-591-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "SUITE 406",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-359-8640",
            "fax_number": "703-591-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELLA",
        "first_name": "JOSILU",
        "name_prefix": "Miss",
        "credential": "PHYSICIANS ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari A Pope-Williams, LPC
• Alyssa Michelle Pope, MSW
• Michelle Lynn Pope, MSN, APRN, FNP-BC
• Madeline Adele Poplin, WHNP-BC
• Rio Marasigan Porneso, MSN, APRN, AGPCNP-BC
• Monika A Porter
• Terrie Porter, PA-C
• Beatriz Portillo
• Erika Lanette Portillo, M.ED, LMHP-R
• Vicki Portley, P.T.

• Surgical Physician Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.