Individual provider Active NPI

Deborah Allis, PA

  • Physician Assistant
  • Vienna, VA
National Provider Identifier
1487626255
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003861 Issued in NY
Practice address
2235 Cedar LN Ste 302
Vienna, VA 22182-5247
Phone
(703) 494-1020
NPI assigned
Feb 6, 2006
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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 003861 NY Primary
Physician Assistant 363A00000X 000942 CT

Addresses

Primary practice location

2235 Cedar LN Ste 302
Vienna, VA 22182-5247

Mailing address

400 E Main St
Mount Kisco, NY 10549-3417

Other practice location 1

44121 Leesburg Pike Ste 250
Ashburn, VA 20147-5674
Phone (703) 494-1020

Other practice location 2

400 E Main St
Northern Westchester Hospital: 1 West, Bariatrics
Mount Kisco, NY 10549-3417
Phone (914) 242-8355

Other practice location 3

3581 Old Washington Rd # C
Waldorf, MD 20602-3270
Phone (703) 494-1020

Other practice location 4

2010 Opitz Blvd Ste A
Woodbridge, VA 22191-3359
Phone (703) 494-1020

Other identifiers 1

IdentifierTypeStateIssuer
290000942CT01OtherCTANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, MD, VA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20170908000475 NY Practitioner - Physician Assistant 8224079504 Reassigns benefits to 1 organization
I20231212002095 DC Practitioner - Physician Assistant 8224079504 Reassigns benefits to 2 organizations
I20250718000063 MD Practitioner - Physician Assistant 8224079504 Reassigns benefits to 1 organization
I20250922003325 VA Practitioner - Physician Assistant 8224079504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Lejeune CT
Old Greenwich, CT 06870-1206

44121 Leesburg Pike
Suite 250
Ashburn, VA 20147-5667

5852 S Pecos Rd
Las Vegas, NV 89120-3489

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000942CTMDMarriage & Family Therapist
003861NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Dec 26, 2016 Accepting new patients
Capital Area Physician Weight & Wellness Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Capital Area Physician Weight & Wellness Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Capital Area Physician Weight & Wellness Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Physician Assistant Past Accepting new patients
Capital Area Internal Medicine, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3581 Old Washington Rd
#C
Waldorf, MD 20602
Phone (703) 255-6010

3581 Old Washington Rd
Ste C
Waldorf, MD 20602

480 Bedford Rd
Chappaqua, NY 10514
Phone (866) 997-5781

300 Community Dr
Manhasset, NY 11030

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

44121 Leesburg Pike
Ste 250
Ashburn, VA 20147
Phone (703) 255-6010

2235 Cedar Ln
Ste 302
Vienna, VA 22182
Phone (703) 255-6010

2010 Opitz Blvd
Ste A
Woodbridge, VA 22191
Phone (703) 255-6010

Interoperability endpoints

  • Direct secure messaging: dallis@3728552b.micromddirect.com

Organizations & group practices 9

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1487626255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN STE 302",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825247",
            "telephone_number": "703-494-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44121 Leesburg Pike Ste 250",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201475674",
            "country_code": "US",
            "telephone_number": "703-494-1020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E Main St",
            "address_2": "Northern Westchester Hospital: 1 West, Bariatrics",
            "address_purpose": "LOCATION",
            "city": "Mount Kisco",
            "state": "NY",
            "postal_code": "105493417",
            "country_code": "US",
            "telephone_number": "914-242-8355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3581 Old Washington Rd # C",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206023270",
            "country_code": "US",
            "telephone_number": "703-494-1020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Opitz Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913359",
            "country_code": "US",
            "telephone_number": "703-494-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLIS",
        "first_name": "DEBORAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003861",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "290000942CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.