Individual provider Active NPI

Sara Lindsay Gillam, P.A.

  • Medical Physician Assistant
  • Falls Church, VA
National Provider Identifier
1598947111
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003987 Issued in VA
Practice address
2901 Telestar CT Ste 100
Falls Church, VA 22042-1261
Phone
(703) 208-9797
Fax
(703) 591-0829
NPI assigned
Dec 5, 2007
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0003485 MD
Medical Physician Assistant 363AM0700X 0110003987 VA Primary

Addresses

Primary practice location

2901 Telestar CT Ste 100
Falls Church, VA 22042-1261

Mailing address

2901 Telestar CT Ste 300
Falls Church, VA 22042-1263
Phone (703) 591-1688

Other practice location 1

2901 Telestar Ct
#200
Falls Church, VA 22042-1260
Phone (703) 573-3494

Other practice location 2

4825 Mark Center Dr Ste 150
Alexandria, VA 22311-1846
Phone (703) 751-8111

Other identifiers 1

IdentifierTypeStateIssuer
1598947111MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgillam54906@soc.inova.org

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
I20100430000725 DC Practitioner - Physician Assistant 4284762881 Reassigns benefits to 2 organizations
I20141030000180 VA Practitioner - Physician Assistant 4284762881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Arlington, VA 22201-5766

2901 Telestar CT
Suite 200
Falls Church, VA 22042-1262
Phone (703) 573-3494

3300 Gallows Rd
Falls Church, VA 22042-3307

4825 Mark Ctr Dr
Suite 150
Alexandria, VA 22311-1846
Phone (703) 751-8111

611 S Carlin Springs Rd
Suite 410
Arlington, VA 22204-1087
Phone (703) 931-4404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110003987VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 1, 2015 Accepting new patients
Inova Health Care Services CurrentSince Feb 18, 2021 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2015 Accepting new patients
Washington Electrophysiology LLC Past Accepting new patients

Locations

7905 Malcolm Rd
Ste 103
Clinton, MD 20735
Phone (301) 877-2150

4825 Mark Center Dr
Ste 150
Alexandria, VA 22311
Phone (703) 751-8111

2901 Telestar Ct
Ste 100
Falls Church, VA 22042
Phone (703) 208-9797

2901 Telestar Ct
Ste 150
Falls Church, VA 22042
Phone (703) 208-9790

2901 Telestar Ct
Ste 200
Falls Church, VA 22042
Phone (703) 573-3494

2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664

1900 Gallows Rd
Ste 110
Vienna, VA 22182
Phone (703) 281-1265

Interoperability endpoints

  • Direct secure messaging: sgillam54906@soc.inova.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1598947111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421263",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT STE 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421261",
            "telephone_number": "703-208-9797",
            "fax_number": "703-591-0829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Telestar Ct",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421260",
            "country_code": "US",
            "telephone_number": "703-573-3494",
            "fax_number": "703-573-5353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4825 Mark Center Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223111846",
            "country_code": "US",
            "telephone_number": "703-751-8111",
            "fax_number": "703-751-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLAM",
        "first_name": "SARA",
        "middle_name": "LINDSAY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003485",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598947111",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgillam54906@soc.inova.org",
            "affiliation": "N",
            "address_1": "2901 Telestar Ct Ste 100",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220421261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.