Active NPI
Therese Soballe Cermak, MD
- Anatomic Pathology & Clinical Pathology Physician
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD035880
- Practice address
- 1850 Town Center Pkwy
Reston, VA 20190-3204 - Phone
- (703) 689-9093
- Fax
- (703) 639-9580
- NPI assigned
- Feb 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD035880 | DC | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101053571 | VA |
Addresses
Primary practice location
1850 Town Center Pkwy
Reston, VA 20190-3204
Mailing address
PO Box 745344
Atlanta, GA 30374-5344
Phone (703) 689-9093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Medical University of South Carolina College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4852
1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9093
Hospital & facility affiliations
- Reston Hospital Center
- Spotsylvania Regional Medical Center
- Stonesprings Hospital Center
- Inova Loudoun Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- Quality
- 89.3
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forward Pathology Solutions LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| MGMC LLC | Past | Accepting new patients |
Locations
2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Richmond, VA
- NPI 1982266391
DC
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
dba StoneSprings Hospital Center
- General Acute Care Hospital
- Dulles, VA
- NPI 1972904738
-
dba Reston Hospital Center
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
-
dba Spotsylvania Regional Medical Center
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1376876664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1346480936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745344",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303745344",
"telephone_number": "703-689-9093",
"fax_number": "703-639-9580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY",
"city": "RESTON",
"state": "VA",
"postal_code": "201903204",
"telephone_number": "703-689-9093",
"fax_number": "703-639-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERMAK",
"first_name": "THERESE",
"middle_name": "SOBALLE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-23",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "DC",
"license": "MD035880",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101053571",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.