Individual provider Active NPI

Miroslava Pavlova

  • Physician Assistant
  • Burke, VA
National Provider Identifier
1659503928
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002046 Issued in VA
Practice address
5631 Burke Centre Pkwy
Suite a
Burke, VA 22015-2234
Phone
(703) 250-5171
NPI assigned
Aug 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002046 VA Primary
Physician Assistant 363A00000X PA030379 DC

Addresses

Primary practice location

5631 Burke Centre Pkwy
Suite a
Burke, VA 22015-2234

Mailing address

5631 Burke Centre Pkwy
Suite a
Burke, VA 22015-2234
Phone (703) 250-5171

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
I20130619000083 VA Practitioner - Physician Assistant 6002055266 Reassigns benefits to 1 organization
I20240116000118 DC Practitioner - Physician Assistant 6002055266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

24570 Gum Spring Rd
Sterling, VA 20166-2246
Phone (703) 698-8960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
56.13
Promoting interoperability
98
Improvement activities
40
Cost
80.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA030379DCMDPhysician Assistant
0110002046VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Old Dominion Anesthesia LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: miroslava.pavlova@gastrohealth.eclinicaldirectplus.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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1659503928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5631 BURKE CENTRE PKWY",
            "address_2": "SUITE A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152234",
            "telephone_number": "703-250-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5631 BURKE CENTRE PKWY",
            "address_2": "SUITE A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152234",
            "telephone_number": "703-250-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVA",
        "first_name": "MIROSLAVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002046",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.