Active NPI
Daniela S Da Rocha, PA
- Medical Physician Assistant
- Washington, DC
National Provider Identifier
1649396771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA031351
- Practice address
- 2333 Ontario Rd NW
Washington, DC 20009-2627 - Phone
- (202) 483-8196
- Fax
- (202) 483-0302
- NPI assigned
- Mar 21, 2007
- Last updated
- Apr 23, 2021
- 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 | PA031351 | DC | Primary |
| Medical Physician Assistant | 363AM0700X | 0110002390 | VA |
Addresses
Primary practice location
2333 Ontario Rd NW
Washington, DC 20009-2627
Mailing address
2333 Ontario Rd NW
Washington, DC 20009-2627
Phone (202) 483-8196
Other practice location 1
6355 Walker Ln
Suite 308
Alexandria, VA 22310-3245
Phone (703) 313-7700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33-1844 | Other | MEDICARE | |
| 00355151 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012041 | NY | MD | Physical Therapist |
| 0110002390 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary's Center for Maternal and Child Care Inc | Current | Accepting new patients | |
| Marys Center for Maternal and Child Care Inc | Current | Accepting new patients | |
| Old Dominion Anesthesia LLC | Past | Accepting new patients | |
| Mary's Center for Maternal and Child Care, Inc | Past | Accepting new patients |
Locations
2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175
Interoperability endpoints
- darocha.daniela@maryscenter.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1962520288
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1831635986
-
- Federally Qualified Health Center (FQHC)
- Silver Spring, MD
- NPI 1174011563
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1649396771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 ONTARIO RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092627",
"telephone_number": "202-483-8196",
"fax_number": "202-483-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 ONTARIO RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092627",
"telephone_number": "202-483-8196",
"fax_number": "202-483-0302"
}
],
"practiceLocations": [
{
"address_1": "6355 Walker Ln",
"address_2": "Suite 308",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223103245",
"country_code": "US",
"telephone_number": "703-313-7700",
"fax_number": "703-313-0178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DA ROCHA",
"first_name": "DANIELA",
"middle_name": "S",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DC",
"license": "PA031351",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110002390",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "33-1844",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355151",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.