Active NPI
Emily Welty
- Medical Physician Assistant
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1939 Roland Clarke PL
Reston, VA 20191-1443 - Phone
- (703) 435-3366
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1939 Roland Clarke PL
Reston, VA 20191-1443
Mailing address
1939 Roland Clarke PL
Reston, VA 20191-1443
Phone (703) 435-3366
Other practice location 1
12329 Mountain Rd
Lovettsville, VA 20180-2606
Phone (703) 405-1656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1939 Roland Clarke PL
Suite 200
Reston, VA 20191-1445
Phone (703) 766-2650
3022 Williams Dr
Suite 301
Fairfax, VA 22031-4600
Phone (703) 698-8960
Hospital & facility affiliations
- Reston Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.52 of 100
- Quality
- 56.13
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 80.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Gastroenterology Group, P.C. | Single Specialty | Current | Accepting new patients |
| Old Dominion Anesthesia LLC | Single Specialty | Past | Accepting new patients |
Locations
1939 Roland Clarke Pl
Ste 200
Reston, VA 20191
Phone (703) 435-3366
Interoperability endpoints
- emily.welty@gastrohealth.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Fairfax, VA
- NPI 1205884368
DC
-
- Gastroenterology Physician
- Reston, VA
- NPI 1548358831
Single Specialty
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1780155911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 ROLAND CLARKE PL",
"city": "RESTON",
"state": "VA",
"postal_code": "201911443",
"telephone_number": "703-435-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 ROLAND CLARKE PL",
"city": "RESTON",
"state": "VA",
"postal_code": "201911443",
"telephone_number": "703-435-3366"
}
],
"practiceLocations": [
{
"address_1": "12329 Mountain Rd",
"address_purpose": "LOCATION",
"city": "Lovettsville",
"state": "VA",
"postal_code": "201802606",
"country_code": "US",
"telephone_number": "703-405-1656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELTY",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 1, 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.