Active NPI
Ruth Fischer, P.A.
- Physician Assistant
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110008012
- Practice address
- 1860 Town Center Dr Ste 110
Reston, VA 20190-5898 - Phone
- (703) 796-0200
- NPI assigned
- Jul 9, 2014
- Last updated
- Aug 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110008012 | VA | Primary |
| Physician Assistant | 363A00000X | 017381 | NY |
Addresses
Primary practice location
1860 Town Center Dr Ste 110
Reston, VA 20190-5898
Mailing address
1860 Town Center Dr Ste 110
Reston, VA 20190-5898
Phone (703) 796-0200
Other names 1
- Ruth Abraham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633
2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110008012 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosh Maternal Fetal Medicine PLLC | Past | Accepting new patients | |
| Perfectly Female Women Health Care | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21664/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
dba Bronx Treatment Center
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1720634538
-
dba Evelyn S Felluca, MD
- Obstetrics & Gynecology Physician
- Reston, VA
- NPI 1952487647
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1669708582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1700292950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 TOWN CENTER DR STE 110",
"city": "RESTON",
"state": "VA",
"postal_code": "201905898",
"telephone_number": "703-796-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 TOWN CENTER DR STE 110",
"city": "RESTON",
"state": "VA",
"postal_code": "201905898",
"telephone_number": "703-796-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "RUTH",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110008012",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "017381",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "ABRAHAM",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.