Individual provider Active NPI

Suzannah Kawachi, PA-C

  • Medical Physician Assistant
  • McLean, VA
National Provider Identifier
1457194201
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
8200 Greensboro Dr Ste 801
MC Lean, VA 22102-4925
Phone
(703) 942-9787
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 110010099 VA
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

8200 Greensboro Dr Ste 801
MC Lean, VA 22102-4925

Mailing address

8200 Greensboro Dr Ste 801
MC Lean, VA 22102-4925
Phone (703) 942-9787

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
I20240923000103 DC Practitioner - Physician Assistant 8022559731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luxe Dermatology and Aesthetic Center, PLLCGroup PAC ID 6800128034, 4 clinicians

Practice addresses (Care Compare)

8200 Greensboro Dr
Suite 801
MC Lean, VA 22102-4925
Phone (703) 942-9787

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110010099VAMDDermatology Physician

Organizations & group practices 1

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1457194201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 GREENSBORO DR STE 801",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024925",
            "telephone_number": "703-942-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 GREENSBORO DR STE 801",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024925",
            "telephone_number": "703-942-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWACHI",
        "first_name": "SUZANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "110010099",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.