Individual provider Active NPI

Sarah Schuur, PA-C

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1457709263
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005297 Issued in VA
Practice address
4660 Kenmore Ave Ste 1100
Alexandria, VA 22304-1311
Phone
(703) 370-0073
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019701 NY
Physician Assistant 363A00000X 0110005297 VA Primary

Addresses

Primary practice location

4660 Kenmore Ave Ste 1100
Alexandria, VA 22304-1311

Mailing address

4660 Kenmore Ave Ste 1100
Alexandria, VA 22304-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD2 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
I20170208000450 NY Practitioner - Physician Assistant 7416230933 Reassigns benefits to 1 organization
I20250721000799 MD Practitioner - Physician Assistant 7416230933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lisa C. Kates, LLCGroup PAC ID 1951457993, 3 clinicians

Practice addresses (Care Compare)

2200 Defence Hwy
Crofton, MD 21114-2927
Phone (410) 451-5500

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
78.27
Promoting interoperability
91
Improvement activities
20
Cost
74.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019701NYMDPhysician Assistant

Organizations & group practices 2

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1457709263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 1100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 1100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041311",
            "telephone_number": "703-370-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUUR",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019701",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.