Individual provider Active NPI

Emma Uebele, PA

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1346710738
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007805 Issued in VA
Practice address
1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304
Phone
(202) 596-8891
Fax
(833) 941-2357
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 0110007805 VA Primary

Addresses

Primary practice location

1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304

Mailing address

500 W Annandale Rd
Falls Church, VA 22046-4205

Other identifiers 1

IdentifierTypeStateIssuer
0110-007805OtherVAVIRGINIA PHYSICIAN ASSISTANT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002244 DC Practitioner - Physician Assistant 8224377965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revolution Medicine Health and Fitness PLLCGroup PAC ID 7911339890, 14 clinicians

Practice addresses (Care Compare)

1050 Connecticut Ave NW
Suite 500
Washington, DC 20036-5304
Phone (202) 596-8891

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 9, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 9, 2021 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

4250 Fairfax Dr
Ste 600
Arlington, VA 22203
Phone (202) 596-8891

500 W Annandale Rd
Falls Church, VA 22046
Phone (703) 521-6662

Interoperability endpoints

  • Direct secure messaging: emma.uebele.1@23388.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1346710738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W ANNANDALE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365304",
            "telephone_number": "202-596-8891",
            "fax_number": "833-941-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UEBELE",
        "first_name": "EMMA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "0110-007805",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.