Individual provider Active NPI

Cecilia Duarte Ross, PA-C

  • Physician Assistant
  • Springfield, VA
National Provider Identifier
1457304065
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001838 Issued in VA
Practice address
6225 Brandon Ave Ste 360
Springfield, VA 22150-2519
Phone
(703) 202-9168
Fax
(703) 202-9169
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 0110001838 VA Primary

Addresses

Primary practice location

6225 Brandon Ave Ste 360
Springfield, VA 22150-2519

Mailing address

6225 Brandon Ave Ste 360
Springfield, VA 22150-2519
Phone (703) 202-9168

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cross@directaddress.net 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
I20110324000295 DC Practitioner - Physician Assistant 7012190333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Mohs Surgery Center, LLCGroup PAC ID 2860720059, 5 clinicians

Practice addresses (Care Compare)

6225 Brandon Ave
Suite 360
Springfield, VA 22150-2519
Phone (703) 705-7505

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Mohs Surgery Center, LLC CurrentSince Dec 1, 2025 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Charles B Toner MD PA PastSince Nov 9, 2025 Accepting new patients

Locations

6225 Brandon Ave
Ste 360
Springfield, VA 22150
Phone (703) 202-9168

5501 Backlick Rd
Ste 120
Springfield, VA 22151
Phone (301) 966-7744

Interoperability endpoints

  • Direct secure messaging: cross@directaddress.net

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1457304065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 BRANDON AVE STE 360",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502519",
            "telephone_number": "703-202-9168",
            "fax_number": "703-202-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 BRANDON AVE STE 360",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502519",
            "telephone_number": "703-202-9168",
            "fax_number": "703-202-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CECILIA",
        "middle_name": "DUARTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cross@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6225 Brandon Ave Ste 360",
            "city": "Springfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221502519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.