Individual provider Active NPI

Emily Welty

  • Medical Physician Assistant
  • Reston, VA
National Provider Identifier
1780155911
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on Apr 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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, DC2 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
I20210727000707 VA Practitioner - Physician Assistant 1759784887 Reassigns benefits to 1 organization
I20210727003816 DC Practitioner - Physician Assistant 1759784887 Reassigns benefits to 1 organization

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
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

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 Hospital, Reston, VA, CCN 490107

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
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

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.