Active NPI
Ellie Martini, PA-C
- Physician Assistant
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110009236
- Practice address
- 1850 Town Center Pkwy Unit 400303
Reston, VA 20190-3204 - Phone
- (703) 277-2663
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110009236 | VA | Primary |
Addresses
Primary practice location
1850 Town Center Pkwy Unit 400303
Reston, VA 20190-3204
Mailing address
5116 Hart Mill Dr
Glen Allen, VA 23060-6385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Drexel University College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 Boulders Pkwy
North Chesterfield, VA 23225-4067
12216 W Broad St
Suite 4B 5
Henrico, VA 23233-1062
Phone (804) 440-4878
15564 Westchester Commons Way
Midlothian, VA 23113-7321
Phone (804) 440-4878
7858 Shrader Rd
Richmond, VA 23294-4222
Phone (804) 270-1305
8901 Three Chopt Rd
Suite D
Richmond, VA 23229-4643
Phone (804) 440-4878
9369 Atlee Rd
Suite 3107
Mechanicsville, VA 23116-2400
Phone (804) 440-4878
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia, Inc | Physician Assistant | Current | Accepting new patients |
| Orthovirginia, Inc | Physician Assistant | Current | Accepting new patients |
| Orthovirginia, Inc. | Past | Accepting new patients |
Locations
6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210
13350 Franklin Farm Rd
Ste 220
Herndon, VA 20171
Phone (703) 471-5300
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
1850 Town Center Pkwy
Ste 400
Reston, VA 20190
Phone (703) 234-1000
1850 Town Center Pkwy
Ste 303
Reston, VA 20190
Phone (703) 709-1114
8901 Three Chopt Rd
Ste D
Richmond, VA 23229
Phone (804) 440-4878
7650 E Parham Rd
Ste 100
Richmond, VA 23294
Phone (804) 282-6338
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1497456412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 HART MILL DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY UNIT 400303",
"city": "RESTON",
"state": "VA",
"postal_code": "201903204",
"telephone_number": "703-277-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINI",
"first_name": "ELLIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110009236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.