Individual provider Active NPI

Amelia Ellen Pitha, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Leesburg, VA
National Provider Identifier
1275179137
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024178328 Issued in VA
Practice address
19450 Deerfield Ave Ste 100
Leesburg, VA 20176-6821
Phone
(571) 350-3668
Fax
(703) 729-2689
NPI assigned
Nov 25, 2019
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024178328 VA Primary

Addresses

Primary practice location

19450 Deerfield Ave Ste 100
Leesburg, VA 20176-6821

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

2901 Telestar Ct Ste 150
Falls Church, VA 22042-1216
Phone (703) 208-9797

Other practice location 2

3580 Joseph Siewick Dr Ste 305
Fairfax, VA 22033-1764
Phone (703) 648-3266

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apitha697192@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, WV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200313000435 DC Practitioner - Nurse Practitioner 3577991157 Reassigns benefits to 1 organization
I20200806002833 VA Practitioner - Nurse Practitioner 3577991157 Reassigns benefits to 1 organization
I20260430001187 WV Practitioner - Nurse Practitioner 3577991157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

44035 Riverside Pkwy
Leesburg, VA 20176-8260

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024178328VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Apr 5, 2022 Accepting new patients

Locations

1475 Taney Ave
Ste 103
Frederick, MD 21702
Phone (301) 694-8344

1475 Taney Ave
Ste 101
Frederick, MD 21702
Phone (301) 668-2344

1165 Imperial Dr
Ste 202
Hagerstown, MD 21740
Phone (301) 684-0004

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

11335 Pembrooke Sq
#101
Waldorf, MD 20603
Phone (301) 856-6718

8260 Willow Oaks Corporate Dr
Ste 400
Fairfax, VA 22031
Phone (703) 560-2236

3580 Joseph Siewick Dr
Ste 305
Fairfax, VA 22033
Phone (703) 648-3266

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

2901 Telestar Ct
Ste 150
Falls Church, VA 22042
Phone (703) 208-9790

19450 Deerfield Ave
Ste 100
Leesburg, VA 20176
Phone (571) 350-3668

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

14349 Gideon Dr
Fl 2
Woodbridge, VA 22192
Phone (571) 472-8760

Interoperability endpoints

  • Direct secure messaging: apitha697192@soc.inova.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1275179137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE STE 100",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766821",
            "telephone_number": "571-350-3668",
            "fax_number": "703-729-2689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Telestar Ct Ste 150",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421216",
            "country_code": "US",
            "telephone_number": "703-208-9797",
            "fax_number": "703-591-0829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 Joseph Siewick Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331764",
            "country_code": "US",
            "telephone_number": "703-648-3266",
            "fax_number": "703-648-3264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITHA",
        "first_name": "AMELIA",
        "middle_name": "ELLEN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024178328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apitha697192@soc.inova.org",
            "affiliation": "N",
            "address_1": "19450 Deerfield Ave Ste 100",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201766821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.