Individual provider Active NPI

Edwin D Encarnacion, PA-C

  • Physician Assistant
  • Sterling, VA
National Provider Identifier
1528049806
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001059 Issued in VA
Practice address
21475 Ridgetop Cir
Suite 150
Sterling, VA 20166-6580
Phone
(703) 444-5000
Fax
(703) 444-4999
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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 0110001059 VA Primary

Addresses

Primary practice location

21475 Ridgetop Cir
Suite 150
Sterling, VA 20166-6580

Mailing address

21475 Ridgetop Cir
Ste 150
Sterling, VA 20166-6580
Phone (703) 444-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edwin.encarnacion.p1@direct.tsiva.nextgenshare.com Health Information Exchange (HIE) ARTHRITIS & SPORTS ORTHOPAEDICS PC

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
I20040727000727 VA Practitioner - Physician Assistant 5698745842 Reassigns benefits to 1 organization
I20041103000492 DC Practitioner - Physician Assistant 5698745842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis and Sports Orthopaedics PCGroup PAC ID 7618866476, 23 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3219
Phone (703) 689-9000

21475 Ridgetop Cir
Sterling, VA 20166-6580
Phone 7034445000117

7508 Iron Bar LN
Gainesville, VA 20155-2999
Phone (703) 490-6726

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110001059VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Spine Institute PLC PastSince Jul 1, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edwin.encarnacion.p1@direct.tsiva.nextgenshare.com

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1528049806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR",
            "address_2": "STE 150",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666580",
            "telephone_number": "703-444-5000",
            "fax_number": "703-444-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR",
            "address_2": "SUITE 150",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666580",
            "telephone_number": "703-444-5000",
            "fax_number": "703-444-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCARNACION",
        "first_name": "EDWIN",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edwin.encarnacion.p1@direct.tsiva.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Nextgen email address",
            "affiliationName": "ARTHRITIS & SPORTS ORTHOPAEDICS PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "21475 Ridgetop Cir",
            "address_2": "Suite 150",
            "city": "Sterling",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201666580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.