Individual provider Active NPI

Sara Clough, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Arlington, VA
National Provider Identifier
1699128058
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005420 Issued in VA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 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, 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
I20160830002579 DC Practitioner - Physician Assistant 9830485820 Reassigns benefits to 2 organizations
I20200521002963 VA Practitioner - Physician Assistant 9830485820 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
0110005420VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Aug 1, 2016 Accepting new patients
Orthovirginia Inc. CurrentSince Aug 1, 2016 Accepting new patients
Orthovirginia, Inc. Physician Assistant CurrentSince May 11, 2020 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.

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": "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

Verify at the official NPI Registry.