Grace Anne Tatlonghari

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

11753 Dry River CT
Reston, VA 20191-2946

Phone

(571) 242-5759

NPI assigned

Feb 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Inc Home health agency, Sterling, VA, CCN 497802
• National Home Health Care Inc Home health agency, Herndon, VA, CCN 497587
• Bayada Home Health Care Inc Home health agency, Falls Church, VA, CCN 497730

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Virginia Internal Medicine Inc

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1740525245

  DC

  Medicare reassignment Care Compare group
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  DC, VA

  Medicare reassignment Care Compare group
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Sterling, VA
  • NPI 1174246359
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Falls Church, VA
  • NPI 1528435781
  Care Compare affiliation
• National Home Healthcare, Inc.

  • Home Health Agency
  • Herndon, VA
  • NPI 1104859339
  Care Compare affiliation

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1497348718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11753 DRY RIVER CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201912946",
            "telephone_number": "571-242-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11753 DRY RIVER CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201912946",
            "telephone_number": "571-242-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATLONGHARI",
        "first_name": "GRACE ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Tambellini, OTR/L
• Neeraja Tandra, MD
• Gavin Tang
• Erin Christine Tanverdi, OTR/L
• Fatima Tariq, MD
• Shaheda Tawakalyar
• Fred F Taweel, MD
• Olga Adjo Tawiah, NP
• Abigail Coleman Taylor, PA-C
• Teanna Taylor

• Physician Assistant in Reston, VA
• Providers in Reston, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.