Individual provider Active NPI

Carmine Skye Zelaya, PA

  • Physician Assistant
  • Vienna, VA
National Provider Identifier
1760166276
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
180 Maple Ave W
Vienna, VA 22180-5727
Phone
(571) 363-3539
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 Primary

Addresses

Primary practice location

180 Maple Ave W
Vienna, VA 22180-5727

Mailing address

180 Maple Ave W
Vienna, VA 22180-5727

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
I20231121002754 DC Practitioner - Physician Assistant 3870941347 Reassigns benefits to 1 organization
I20240530001607 VA Practitioner - Physician Assistant 3870941347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

1208 W Broad St
Suite D
Falls Church, VA 22046-2116
Phone (571) 766-8927

1340 Old Chain Bridge Rd
Suite 101
MC Lean, VA 22101-3909
Phone (703) 893-2273

1488 Northpoint VLG Ctr
Inova Ghlth Ucc Rest
Reston, VA 20194-1190
Phone (571) 525-5850

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

2415 Centreville Rd
Suite B6
Herndon, VA 20171-3029
Phone (571) 376-4000

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

300 Fort Evans Rd NE
Suite 103
Leesburg, VA 20176-4491
Phone (571) 252-9953

3902 Wilson Blvd
Arlington, VA 22203-1953
Phone (571) 560-2648

43135 Broadlands Ctr PLZ
Suite 123
Broadlands, VA 20148-3804
Phone (571) 206-0742

4600 Cherry Hill Rd
Arlington, VA 22207-3428
Phone (571) 977-5274

6371 Seven Corners Ctr
Falls Church, VA 22044-2410
Phone (571) 286-5872

9404 A Main St
Fairfax, VA 22031-4032
Phone 47027679312302

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Health Inc. CurrentSince Sep 12, 2023 Accepting new patients

Locations

801 Pennsylvania Ave SE
Ste 201
Washington, DC 20003
Phone (202) 281-3988

1012 14th St NW
Ste 700
Washington, DC 20005
Phone (202) 638-0750

Interoperability endpoints

  • Direct secure messaging: cguynn1416088@soc.inova.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1760166276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MAPLE AVE W",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAPLE AVE W",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805727",
            "telephone_number": "571-363-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELAYA",
        "first_name": "CARMINE",
        "middle_name": "SKYE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.