Individual provider Active NPI

Michaela Grace Romero, PA

  • Physician Assistant
  • Ashburn, VA
National Provider Identifier
1508527995
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008737 Issued in VA
Practice address
41816 Fenway Cir
Ashburn, VA 20148-8069
Phone
(757) 656-5957
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 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 0110008737 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

41816 Fenway Cir
Ashburn, VA 20148-8069

Mailing address

41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (757) 656-5957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20230120002195 VA Practitioner - Physician Assistant 1456722909 Reassigns benefits to 3 organizations
I20240627000841 DC Practitioner - Physician Assistant 1456722909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2022
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
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

3440 S Jefferson St
Falls Church, VA 22041-3145
Phone (703) 820-1488

6710 Mallery Dr
Lanham, MD 20706-3964
Phone (301) 552-2000

6929 Matthew PL
Springfield, VA 22151-3607
Phone (703) 813-1800

7112 Braddock Rd
Annandale, VA 22003-6007
Phone (703) 256-2525

7120 Braddock Rd
Annandale, VA 22003-6007
Phone (703) 256-9770

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

  • Bayada Home Health Care Inc Home health agency, Falls Church, VA, CCN 497730
  • Goodwin House Palliative Care and Hospice Hospice, Falls Church, VA, CCN 491553

National Provider Directory

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

Organizations & group practices 3

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 2

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": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1508527995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41816 FENWAY CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488069",
            "telephone_number": "757-656-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41816 FENWAY CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488069",
            "telephone_number": "757-656-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MICHAELA",
        "middle_name": "GRACE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008737",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.