Active NPI
Sara Lindsay Gillam, P.A.
- Medical Physician Assistant
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110003987
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598947111 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgillam54906@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0110003987 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | 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
- 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.
-
dba Virginia Heart
- Cardiovascular Disease Physician
- Vienna, VA
- NPI 1366498933
DC
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
dba Radiology Imaging Associates
- Diagnostic Radiology Physician
- Waldorf, MD
- NPI 1851829550
-
- Clinical Cardiac Electrophysiology Physician
- Washington, DC
- NPI 1285663427
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.