Active NPI
Janet Perrotta, NP
- Family Nurse Practitioner
- Ashburn, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024181498
- Practice address
- 21035 Sycolin Road, Suite 180
Ashburn, VA 20147-4311 - Phone
- (703) 783-5673
- Fax
- (703) 297-3919
- NPI assigned
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 112166 | NE | |
| Family Nurse Practitioner | 363LF0000X | 0024181498 | VA | Primary |
Addresses
Primary practice location
21035 Sycolin Road, Suite 180
Ashburn, VA 20147-4311
Mailing address
224 D Cornwall Street NW
Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306371646 | Medicaid | VA | |
| 30017815330001 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1313 Dolley Madison Blvd
Suite 104
MC Lean, VA 22101-3926
Phone (703) 783-5673
21035 Sycolin Rd
Suite 180
Ashburn, VA 20147-4098
Phone (703) 783-5673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112166 | NE | MD | Family Nurse Practitioner |
| 0024181498 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients |
Locations
6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700
21035 Sycolin Rd
Ste 180
Ashburn, VA 20147
Phone (703) 783-5673
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
7564 Gardner Park Dr
Gainesville, VA 20155
Phone (571) 561-3400
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
1313 Dolley Madison Blvd
Ste 104
McLean, VA 22101
Phone (703) 263-8282
6 Pidgeon Hill Dr
Ste 205
Sterling, VA 20165
Phone (703) 444-7234
Interoperability endpoints
- janet.perrotta@lmg1.eclinicaldirectplus.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.
-
- Internal Medicine Physician
- Leesburg, VA
- NPI 1679591440
-
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Reston, VA
- NPI 1407908817
DC
-
- Family Medicine Physician
- Potomac Falls, VA
- NPI 1043334410
-
- Vascular Surgery Physician
- Reston, VA
- NPI 1588376321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1306371646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 D CORNWALL STREET NW",
"address_2": "STE 403",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762704",
"telephone_number": "703-737-6010",
"fax_number": "703-443-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21035 SYCOLIN ROAD, SUITE 180",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201474311",
"telephone_number": "703-783-5673",
"fax_number": "703-297-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERROTTA",
"first_name": "JANET",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "112166",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024181498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306371646",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30017815330001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.