Individual provider Active NPI

Kaisha Martinez Pereira, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Dumfries, VA
National Provider Identifier
1659062719
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
16830 Dumfries Rd Ste 150
Dumfries, VA 22025-2056
Phone
(703) 574-3415
NPI assigned
May 18, 2023
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 Primary

Addresses

Primary practice location

16830 Dumfries Rd Ste 150
Dumfries, VA 22025-2056

Mailing address

1460 University Dr
Winchester, VA 22601-5100

Other practice location 1

1460 University Dr
Winchester, VA 22601-5100
Phone (540) 665-4500

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
I20231120002038 VA Practitioner - Physician Assistant 1153779731 Reassigns benefits to 1 organization
I20241223000375 DC Practitioner - Physician Assistant 1153779731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

8081 Innovation Park Dr
Fairfax, VA 22031-4867

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Dec 16, 2024 Accepting new patients
Inova Health Care Services CurrentSince Dec 16, 2024 Accepting new patients
Inova Health Care Services CurrentSince Dec 16, 2024 Accepting new patients
Greater Prince William Area Community Health Center Inc CurrentSince Sep 25, 2023 Accepting new patients
Sentara Medical Group PastSince Sep 1, 2024 Accepting new patients

Locations

17739 Main St
Ste 130
Dumfries, VA 22026
Phone (703) 680-7950

8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606

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

9705 Liberia Ave
Ste 201
Manassas, VA 20110
Phone (703) 519-1725

3350 Commission Ct
Woodbridge, VA 22192
Phone (703) 680-7950

Interoperability endpoints

  • Direct secure messaging: kmartinez1440939@soc.inova.org

Organizations & group practices 7

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1659062719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 UNIVERSITY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 DUMFRIES RD STE 150",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252056",
            "telephone_number": "703-574-3415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 University Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226015100",
            "country_code": "US",
            "telephone_number": "540-665-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ PEREIRA",
        "first_name": "KAISHA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

Verify at the official NPI Registry.