Active NPI
Sara Clough, PHYSICIAN ASSISTANT
- Physician Assistant
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110005420
- Practice address
- 1715 N George Mason Dr Ste 504
Arlington, VA 22205-3670 - Phone
- (703) 525-2200
- Fax
- (703) 810-5423
- NPI assigned
- Jul 20, 2016
- Last updated
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110005420 | VA | Primary |
Addresses
Primary practice location
1715 N George Mason Dr Ste 504
Arlington, VA 22205-3670
Mailing address
PO Box 75420
Baltimore, MD 21275-5420
Phone (703) 383-6469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1715 N George Mason Dr
Suite 504
Arlington, VA 22205-3670
Phone (703) 525-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110005420 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia Inc. | Current | Accepting new patients | |
| Orthovirginia, Inc. | Physician Assistant | Current | Accepting new patients |
| Commonwealth Orthopaedics & Rehabilitation, PC | Past | Accepting new patients |
Locations
6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210
8180 Greensboro Dr
Ste 300
McLean, VA 22102
Phone (703) 810-5217
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213
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.
-
- Specialist
- Arlington, VA
- NPI 1053459149
DC
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1790390789
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Orthopaedic Surgery Physician
- Fairfax, VA
- NPI 1295829893
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fairfax, VA
- NPI 1710473673
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1699128058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75420",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212755420",
"telephone_number": "703-383-6469",
"fax_number": "703-385-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 N GEORGE MASON DR STE 504",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053670",
"telephone_number": "703-525-2200",
"fax_number": "703-810-5423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUGH",
"first_name": "SARA",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110005420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.