Individual provider Active NPI

Ellie Martini, PA-C

  • Physician Assistant
  • Reston, VA
National Provider Identifier
1497456412
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110009236 Issued in VA
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

Updated by the provider on Mar 16, 2023

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 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, 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

Enrollment IDStateProvider typePAC IDDetails
I20230410002033 DC Practitioner - Physician Assistant 0143695973 Reassigns benefits to 1 organization
I20240411003307 VA Practitioner - Physician Assistant 0143695973 Reassigns benefits to 1 organization

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
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince May 22, 2023 Accepting new patients
Orthovirginia, Inc Physician Assistant CurrentSince May 1, 2024 Accepting new patients
Orthovirginia, Inc Physician Assistant CurrentSince May 22, 2023 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.

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

Verify at the official NPI Registry.