Individual provider Active NPI

Catherine W Deck, PA-C

  • Physician Assistant
  • Reston, VA
National Provider Identifier
1366920522
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006217 Issued in VA
Practice address
1850 Town Center Pkwy Ste 400
Reston, VA 20190-3219
Phone
(703) 810-5202
Fax
(703) 810-5420
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 0110006217 VA Primary

Addresses

Primary practice location

1850 Town Center Pkwy Ste 400
Reston, VA 20190-3219

Mailing address

1850 Town Center Pkwy Ste 400
Reston, VA 20190-3219
Phone (703) 810-5202

Other names 1

  • Catherine Dick Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdick16487@direct.orthovirginia.com Direct

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
I20180918001560 DC Practitioner - Physician Assistant 3971854779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3300

6354 Walker Lane
Suite 300
Alexandria, VA 22310-3252
Phone (703) 810-5210

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110006217VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc. Physician Assistant CurrentSince Jul 30, 2018 Accepting new patients
Orthovirginia, Inc CurrentSince Jul 30, 2018 Accepting new patients
Orthovirginia, Inc. Past Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

1635 N George Mason Dr
Ste 310
Arlington, VA 22205
Phone (703) 525-6100

4995 Westone Plz
Chantilly, VA 20151
Phone (571) 441-3980

8270 Willow Oaks Corporate Dr
Ste 700
Fairfax, VA 22031
Phone (703) 810-5218

3620 Joseph Siewick Dr
Ste 100
Fairfax, VA 22033
Phone (703) 277-2663

13350 Franklin Farm Rd
Ste 220
Herndon, VA 20171
Phone (703) 471-5300

1850 Town Center Pkwy
Ste 400
Reston, VA 20190
Phone (703) 234-1000

1850 Town Center Pkwy
Ste 303
Reston, VA 20190
Phone (703) 709-1114

8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213

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.

Hospital & facility affiliations 1

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1366920522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY STE 400",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903219",
            "telephone_number": "703-810-5202",
            "fax_number": "703-810-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY STE 400",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903219",
            "telephone_number": "703-810-5202",
            "fax_number": "703-810-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECK",
        "first_name": "CATHERINE",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdick16487@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "CatherineDick direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1850 Town Center Pkwy Ste 400",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201903219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "DICK",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.