Individual provider Active NPI

Adam Oneill, PA-C

  • Physician Assistant
  • Fairfax, VA
National Provider Identifier
1689224107
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061052 Issued in PA
Practice address
8324 Professional Hill Dr
Fairfax, VA 22031-4611
Phone
(703) 261-4177
NPI assigned
Sep 17, 2019
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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 MA061052 PA Primary

Addresses

Primary practice location

8324 Professional Hill Dr
Fairfax, VA 22031-4611

Mailing address

8324 Professional Hill Dr
Fairfax, VA 22031-4611
Phone (703) 261-4177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 12, 2022 through Jul 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA061052PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adam O'Neill & Associates LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

8324 Professional Hill Dr
Fairfax, VA 22031
Phone (703) 261-4177

Organizations & group practices 1

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1689224107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 PROFESSIONAL HILL DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314611",
            "telephone_number": "703-261-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 PROFESSIONAL HILL DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314611",
            "telephone_number": "703-261-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEILL",
        "first_name": "ADAM",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.