NPIMap

Individual provider Active NPI

Tiffany Dietz, PA

  • Physician Assistant
  • Arlington, VA
National Provider Identifier
1780187633
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006117 Issued in VA
Practice address
2800 S Shirlington Rd Ste 102
Arlington, VA 22206-3603
Phone
(703) 738-4336
NPI assigned
Mar 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 0110006117 VA Primary

Addresses

Primary practice location

2800 S Shirlington Rd Ste 102
Arlington, VA 22206-3603

Mailing address

11350 McCormick Rd
Building 1, Suite 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Other practice location 1

6355 Walker Ln Ste 507
Alexandria, VA 22310-3251
Phone (703) 738-4332

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffanydietz@nspc.medalliesdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180423003049 DC Practitioner - Physician Assistant 8325301435 Reassigns benefits to 1 organization
I20180618001002 VA Practitioner - Physician Assistant 8325301435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physical Medicine Associates LTDGroup PAC ID 4981688835, 73 clinicians

Practice addresses (Care Compare)

2800 S Shirlington Rd
Suite 102
Arlington, VA 22206-3603
Phone (703) 914-8000

6355 Walker LN
Suite 507
Alexandria, VA 22310-3251
Phone (703) 971-4604

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110004751VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tdietz@spineandpain.emadirect.md

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.

Hospital & facility affiliations 3

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": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1780187633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "BUILDING 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 102",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063603",
            "telephone_number": "703-738-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6355 Walker Ln Ste 507",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223103251",
            "country_code": "US",
            "telephone_number": "703-738-4332",
            "fax_number": "703-642-1876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "TIFFANY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffanydietz@nspc.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "2800 S Shirlington Rd Ste 102",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222063603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.