Individual provider Active NPI

Priya Vaidya, PA-C

  • Physician Assistant
  • Rockville, MD
National Provider Identifier
1730419532
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004152 Issued in MD
Practice address
10110 Molecular Dr
Suite 111
Rockville, MD 20850-7539
Phone
(301) 838-4224
NPI assigned
Dec 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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 C0004152 MD Primary

Addresses

Primary practice location

10110 Molecular Dr
Suite 111
Rockville, MD 20850-7539

Mailing address

10110 Molecular Dr
Suite 111
Rockville, MD 20850-7539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20100525000111 DC Practitioner - Physician Assistant 9335278688 Reassigns benefits to 2 organizations
I20130311000094 MD Practitioner - Physician Assistant 9335278688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (330) 493-4443

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 1, 2015 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 1, 2015 Accepting new patients
Arnot Medical Services PLLC Past Accepting new patients

Locations

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1730419532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR",
            "address_2": "SUITE 111",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR",
            "address_2": "SUITE 111",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507539",
            "telephone_number": "301-838-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "PRIYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.