Individual provider Active NPI

Kirby Smith, PA-C

  • Physician Assistant
  • Midlothian, VA
National Provider Identifier
1659889228
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006023 Issued in VA
Practice address
15564 Westchester Commons Way
Midlothian, VA 23113-7321
Phone
(804) 440-4878
NPI assigned
Jan 17, 2018
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 0110006023 VA Primary
Surgical Physician Assistant 363AS0400X 0110006023 VA

Addresses

Primary practice location

15564 Westchester Commons Way
Midlothian, VA 23113-7321

Mailing address

15564 WC Commons Way
Midlothian, VA 23113-7321
Phone (804) 440-4878

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-3625

Other practice location 2

8501 Arlington Blvd Ste 200
Fairfax, VA 22031-4625
Phone (571) 472-6464

Other names 1

  • Kirby Holland Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kholland517016@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20180321001086 DC Practitioner - Physician Assistant 3173885662 Reassigns benefits to 1 organization
I20180423000853 VA Practitioner - Physician Assistant 3173885662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

1115 Boulders Pkwy
North Chesterfield, VA 23225-4067

12216 W Broad St
Suite 4B 5
Henrico, VA 23233-1062
Phone (804) 440-4878

15564 Westchester Commons Way
Midlothian, VA 23113-7321
Phone (804) 440-4878

8901 Three Chopt Rd
Suite D
Richmond, VA 23229-4643
Phone (804) 440-4878

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Jun 6, 2022 Accepting new patients
Orthovirginia Inc CurrentSince Jun 6, 2022 Accepting new patients
Inova Health Care Services CurrentSince Feb 19, 2018 Accepting new patients
Inova Health Care Services CurrentSince Feb 19, 2018 Accepting new patients
Orthovirginia, Inc. Past Accepting new patients

Locations

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

8501 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 970-6464

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

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

15564 Westchester Commons Way
Midlothian, VA 23113
Phone (804) 440-4787

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

Interoperability endpoints

  • Direct secure messaging: kholland30925@direct.orthovirginia.com

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1659889228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15564 WC COMMONS WAY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137321",
            "telephone_number": "804-440-4878",
            "fax_number": "804-497-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15564 WESTCHESTER COMMONS WAY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137321",
            "telephone_number": "804-440-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-3625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 Arlington Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314625",
            "country_code": "US",
            "telephone_number": "571-472-6464",
            "fax_number": "703-970-6465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIRBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006023",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110006023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kholland517016@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3300 Gallows Rd",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220423307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIRBY",
            "last_name": "HOLLAND",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.