Individual provider Active NPI

Sara Park

  • Physician Assistant
  • Falls Church, VA
National Provider Identifier
1316455538
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008910 Issued in VA
Practice address
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone
(703) 776-4001
NPI assigned
Jan 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110008910 VA Primary

Addresses

Primary practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Mailing address

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, DC3 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
I20180423000956 NY Practitioner - Physician Assistant 3678836855 Reassigns benefits to 5 organizations
I20240206004071 VA Practitioner - Physician Assistant 3678836855 Reassigns benefits to 2 organizations
I20250227000150 DC Practitioner - Physician Assistant 3678836855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

8505 Arlington Blvd
Suite 400
Fairfax, VA 22031-4636
Phone (703) 698-4484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021751NYMDSpeech-Language Pathologist
0110008910VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, PA CurrentSince Aug 1, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Mar 16, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2024 Accepting new patients
Fairfax Radiological Consultants CurrentSince Sep 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Mar 16, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2024 Accepting new patients
Montefiore Medical Center Past Accepting new patients
Ifrc, LLC Past Accepting new patients

Locations (25 of 30)

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1800 N Beauregard St
Alexandria, VA 22311
Phone (703) 933-2590

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

400 Fannon St
Fl 1
Alexandria, VA 22301
Phone (571) 472-5400

3299 Woodburn Rd
Ste 110
Annandale, VA 22003
Phone (703) 849-9050

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-6464

6211 Centreville Rd
Ste 400
Centreville, VA 20121
Phone (703) 204-4411

8260 Willow Oaks Corporate Dr
Ste 200
Fairfax, VA 22031
Phone 703698444414708

8503 Arlington Blvd
Ste LL100
Fairfax, VA 22031
Phone (703) 698-4498

8260 Willow Oaks Corporate Dr
Ste 750
Fairfax, VA 22031
Phone (703) 481-9400

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

8081 Innovation Park Dr
Bldg B
Fairfax, VA 22031
Phone 703698444414708

8081 Innovation Park Dr
Bldg A
Fairfax, VA 22031

4315 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 205-9792

3801 University Dr
#120
Fairfax, VA 22030
Phone (703) 698-4467

8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600

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

6355 Walker Ln
Franconia, VA 22310
Phone (703) 664-7453

13575 Heathcote Blvd
Ste 200
Gainesville, VA 20155
Phone (703) 468-2590

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: spark617053@direct.healthsystem.virginia.edu

Organizations & group practices 13

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.

View all 13

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": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1316455538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.