Individual provider Active NPI

Maribel Dupont, PA

  • Medical Physician Assistant
  • Rockingham, VA
National Provider Identifier
1649984378
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110009100 Issued in VA
Practice address
3322 Emmaus Rd
Rockingham, VA 22801-2685
Phone
(540) 885-4500
Fax
(540) 451-2030
NPI assigned
Jan 9, 2023
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110009100 VA Primary

Addresses

Primary practice location

3322 Emmaus Rd
Rockingham, VA 22801-2685

Mailing address

1600 N Coalter St Ste 19
Staunton, VA 24401-2566
Phone (540) 885-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230421002440 VA Practitioner - Physician Assistant 8224493432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
80.99
Improvement activities
40
Cost
74.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110009100VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Siva Thiagarajah, MD CurrentSince Dec 1, 2025 Accepting new patients
Virginia Skin, LLC Dermatology CurrentSince Dec 1, 2025 Accepting new patients
Pediatric Headache Center of Richmond, PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

600 Peter Jefferson Pkwy
Ste 190
Charlottesvle, VA 22911
Phone (434) 220-8620

2819 N Parham Rd
Ste 290
Richmond, VA 23294
Phone (432) 260-5800

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00421
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1649984378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N COALTER ST STE 19",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012566",
            "telephone_number": "540-885-4500",
            "fax_number": "540-451-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 EMMAUS RD",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228012685",
            "telephone_number": "540-885-4500",
            "fax_number": "540-451-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "MARIBEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110009100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.