Edith Alicia Torres, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110-008590 Issued in VA

Practice address

10721 Main St Ste 200
Fairfax, VA 22030-6913

Phone

(703) 352-2620

NPI assigned

May 27, 2022

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, VA, MD3 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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Maryland PCGroup PAC ID 9931489804, 43 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

83.97 of 100Reported as group

Quality

78.47

Promoting interoperability

83

Improvement activities

40

Cost

82.27

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Advanced Dermatology of Maryland PC

  • Dermatology Physician
  • Rockville, MD
  • NPI 1760856413

  DC

  Medicare reassignment Care Compare group NPD
• Skin and Laser Surgery Center

  • MOHS-Micrographic Surgery Physician
  • Vienna, VA
  • NPI 1720277932

  DC

  Medicare reassignment
• Advanced Dermatology of Maryland PC

  • Dermatology Physician
  • Fort Washington, MD
  • NPI 1386479004
  NPD
• Advanced Dermatology of Maryland PC

  • Dermatology Physician
  • La Plata, MD
  • NPI 1477388197
  NPD

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1295474377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 BLACKWATER RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351215",
            "telephone_number": "301-910-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306913",
            "telephone_number": "703-352-2620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Centennial St Ste H",
            "address_purpose": "LOCATION",
            "city": "LA Plata",
            "state": "MD",
            "postal_code": "206465976",
            "country_code": "US",
            "telephone_number": "301-292-6010",
            "fax_number": "240-344-2815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "174 Waterfront St Ste 200",
            "address_purpose": "LOCATION",
            "city": "National Harbor",
            "state": "MD",
            "postal_code": "207451164",
            "country_code": "US",
            "telephone_number": "240-493-8447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "EDITH",
        "middle_name": "ALICIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-008590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vatsala Topiwala, MD
• Jared Torell
• Josephine Anne Melocoton Torno, MD
• Freddy Albert Torrejon
• Ernesto Antonio Torres-Pena, LPC
• Joshua Torres
• Kristiene Dampios Torres, LPTA
• Melissa S Torres, CNM
• Virginia Susan Torrise, PHARM.D.
• Erica Tossa, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.