Individual provider Active NPI

Caitlin Liberatore, PA-C

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1508521253
Registry record updated Nov 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008127 Issued in VA
Practice address
1404 Belle View Blvd Apt A1
Alexandria, VA 22307-6527
Phone
(703) 895-1589
NPI assigned
Nov 7, 2021
Last updated
Nov 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2021

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 0110008127 VA Primary

Addresses

Primary practice location

1404 Belle View Blvd Apt A1
Alexandria, VA 22307-6527

Mailing address

1404 Belle View Blvd Apt A1
Alexandria, VA 22307-6527
Phone (703) 895-1589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220104002243 DC Practitioner - Physician Assistant 8325438963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Temple University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Associates LLCGroup PAC ID 4688653306, 44 clinicians

Practice addresses (Care Compare)

10313 Georgia Ave
Silver Spring, MD 20902-5006
Phone (301) 681-7000

13880 Braddock Rd
Suite 301
Centreville, VA 20121-2462
Phone (703) 222-2773

2616 Sherwood Hall LN
Suite 203
Alexandria, VA 22306-3154
Phone (571) 560-1420

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cliberatore@usdp7.emadirect.md

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, 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": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1508521253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 BELLE VIEW BLVD APT A1",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076527",
            "telephone_number": "703-895-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 BELLE VIEW BLVD APT A1",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076527",
            "telephone_number": "703-895-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERATORE",
        "first_name": "CAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.