Individual provider Active NPI

Neggin Assadi, PA-C

  • Physician Assistant
  • Leesburg, VA
National Provider Identifier
1427832559
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110009377 Issued in VA
Practice address
19500 Sandridge Way, Suite 420
Leesburg, VA 20176-3697
Phone
(571) 375-8601
NPI assigned
Aug 21, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 0110009377 VA Primary

Addresses

Primary practice location

19500 Sandridge Way, Suite 420
Leesburg, VA 20176-3697

Mailing address

249 Commons Dr NW
Vienna, VA 22180-4216
Phone (703) 508-7826

Other practice location 1

4001 Fair Ridge Dr Ste 103
Fairfax, VA 22033-2917
Phone (703) 385-5203

Other practice location 2

19500 Sandridge Way, Suite 460
Leesburg, VA 20176-3694
Phone (571) 206-0767

Other identifiers 2

IdentifierTypeStateIssuer
30017677960002MedicaidVA
1427832559MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231009001824 VA Practitioner - Physician Assistant 0941655187 Reassigns benefits to 4 organizations
I20240209003650 DC Practitioner - Physician Assistant 0941655187 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

20070 Ashbrook Commons PLZ
Unit 104
Ashburn, VA 20147-5035
Phone (571) 479-3116

Merit-based Incentive Payment System (MIPS)

Final score
84.54 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
76.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110009377VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Ucc LLC CurrentSince Nov 10, 2025 Accepting new patients
Loudoun Medical Group, PC CurrentSince Oct 2, 2023 Accepting new patients
Loudoun Medical Group, PC CurrentSince Oct 2, 2023 Accepting new patients
Reston Radiology Consultants Interventional Services, LLC PastSince Sep 1, 2023 Accepting new patients
Inova Health Care Services PastSince Nov 10, 2025 Accepting new patients

Locations

20070 Ashbrook Commons Plz
Unit 104
Ashburn, VA 20147
Phone (571) 479-3116

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

19500 Sandridge Way
Ste 420
Leesburg, VA 20176
Phone (571) 375-8601

19500 Sandridge Way
Ste 460
Leesburg, VA 20176
Phone (571) 206-0767

11670 Sudley Manor Dr
Manassas, VA 20109
Phone (571) 359-6424

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Interoperability endpoints

  • Direct secure messaging: nassadi1630356@soc.inova.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1427832559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 COMMONS DR NW",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804216",
            "telephone_number": "703-508-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 SANDRIDGE WAY, SUITE 420",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763697",
            "telephone_number": "571-375-8601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Fair Ridge Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220332917",
            "country_code": "US",
            "telephone_number": "703-385-5203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19500 Sandridge Way, Suite 460",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201763694",
            "country_code": "US",
            "telephone_number": "571-206-0767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASSADI",
        "first_name": "NEGGIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017677960002",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427832559",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.