Individual provider Active NPI

Simran Mehta

  • Physician Assistant
  • Warrenton, VA
National Provider Identifier
1659105906
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
550 Broadview Ave Ste 102
Warrenton, VA 20186-2036
Phone
(888) 628-8272
Fax
(833) 764-5719
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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

550 Broadview Ave Ste 102
Warrenton, VA 20186-2036

Mailing address

PO Box 101
Stevenson, MD 21153-0101
Phone (888) 628-8272

Other practice location 1

9161 Liberia Ave Ste 400A
Manassas, VA 20110-1727
Phone (888) 628-8272

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
I20241122004338 VA Practitioner - Physician Assistant 0446785752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain Spring Vascular LLCGroup PAC ID 2062826316, 28 clinicians

Practice addresses (Care Compare)

15100 Washington St
Suite 203
Haymarket, VA 20169-4920
Phone (888) 628-8272

499 Meadowbrook Shopping Ctr
Culpeper, VA 22701-3980
Phone (844) 333-8411

550 Broadview Ave
Suite 102
Warrenton, VA 20186-2036
Phone (888) 628-8272

601 Old Wagner Rd
BLDG D
Petersburg, VA 23805-9313
Phone (888) 628-8272

9161 Liberia Ave
Suite 400a
Manassas, VA 20110-1727
Phone (888) 628-8272

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Spring Vascular LLC CurrentSince Oct 7, 2024 Accepting new patients
Mountain Spring Vascular LLC CurrentSince Oct 7, 2024 Accepting new patients

Locations

2012 S Tollgate Rd
Ste 111112
Bel Air, MD 21015
Phone (410) 404-7464

1101 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 547-9266

2002 Orange Rd
Ste 105
Culpeper, VA 22701
Phone (540) 274-3205

499 Meadowbrook Shopping Ctr
Culpeper, VA 22701
Phone (540) 274-3205

420 S Main St
Ste C
Emporia, VA 23847
Phone (252) 343-4800

15100 Washington St
Ste 203
Haymarket, VA 20169
Phone (540) 274-3205

9161 Liberia Ave
Ste 400A
Manassas, VA 20110
Phone (540) 274-3205

6512 Woodlake Village Cir
Midlothian, VA 23112
Phone (804) 739-6370

601 Old Wagner Rd
Bldg D
Petersburg, VA 23805
Phone (607) 425-1810

3720 Holland Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 340-0446

5589 Greenwich Rd
Ste 101
Virginia Beach, VA 23462
Phone (540) 274-3205

550 Broadview Ave
Ste 102
Warrenton, VA 20186
Phone (540) 680-3433

Interoperability endpoints

  • Direct secure messaging: simran.mehta.1@23046.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1659105906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "STEVENSON",
            "state": "MD",
            "postal_code": "211530101",
            "telephone_number": "888-628-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BROADVIEW AVE STE 102",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862036",
            "telephone_number": "888-628-8272",
            "fax_number": "833-764-5719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9161 Liberia Ave Ste 400A",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201101727",
            "country_code": "US",
            "telephone_number": "888-628-8272",
            "fax_number": "833-764-5719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SIMRAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.