Individual provider Active NPI

Andrew Davis Pfaff, PA-C

  • Physician Assistant
  • Lake Ridge, VA
National Provider Identifier
1831792977
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01100080007 Issued in VA
Practice address
2199 Old Bridge Rd
Lake Ridge, VA 22192-2911
Phone
(703) 647-6087
NPI assigned
Nov 20, 2020
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008077 MD
Physician Assistant 363A00000X 01100080007 VA Primary

Addresses

Primary practice location

2199 Old Bridge Rd
Lake Ridge, VA 22192-2911

Mailing address

11350 McCormick Rd
Executive Plaza 1, Ste. 501
Hunt Valley, MD 21031-2001
Phone (703) 914-8000

Other practice location 1

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

Other practice location 2

6201 Annapolis Rd
Landover Hills, MD 20784-1307
Phone (301) 276-3377

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address apfaff1@spineandpain.emadirect.md
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210811003569 DC Practitioner - Physician Assistant 2567866650 Reassigns benefits to 3 organizations
I20220216002196 VA Practitioner - Physician Assistant 2567866650 Reassigns benefits to 2 organizations
I20250128004481 MD Practitioner - Physician Assistant 2567866650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians
Physical Medicine Associates LTDGroup PAC ID 4981688835, 73 clinicians

Practice addresses (Care Compare)

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

10424 Baltimore Ave
Beltsville, MD 20705-2321
Phone (240) 542-5987

1110 Annapolis Rd
Odenton, MD 21113-1602
Phone (443) 351-3917

14605 Potomac Branch Dr
Suite 100
Woodbridge, VA 22191-3337
Phone (703) 738-4371

1670 Ritchie Station CT
Capitol Heights, MD 20743-5074
Phone (240) 765-1406

2855 Crain Hwy
Waldorf, MD 20601-2807
Phone (240) 427-1926

6311 Richmond Hwy
Alexandria, VA 22306-6410
Phone (703) 647-6087

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

6710 Oxon Hill Rd
Suite 550
Oxon Hill, MD 20745-1117
Phone (301) 485-7400

726 Rockville Pike
Rockville, MD 20852-1133
Phone (240) 238-0411

9151 Rumsey Rd
Suite 150
Columbia, MD 21045-1994
Phone (443) 583-7958

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01100080007VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group PLLC CurrentSince Feb 1, 2025 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Feb 1, 2025 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Feb 19, 2024 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Feb 19, 2024 Accepting new patients
Patient First Maryland Medical Group, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

6201 Annapolis Rd
Landover Hills, MD 20784
Phone (301) 276-3377

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

2199 Old Bridge Rd
Woodbridge, VA 22192
Phone (703) 357-7707

Interoperability endpoints

  • Direct secure messaging: apfaff1@spineandpain.emadirect.md
  • Direct secure messaging: mdexchange@patientfirstclinics.com
  • Direct secure messaging: vaexchange@patientfirstclinics.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1831792977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, STE. 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210312001",
            "telephone_number": "703-914-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 OLD BRIDGE RD",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922911",
            "telephone_number": "703-647-6087"
        }
    ],
    "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",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Annapolis Rd",
            "address_purpose": "LOCATION",
            "city": "Landover Hills",
            "state": "MD",
            "postal_code": "207841307",
            "country_code": "US",
            "telephone_number": "301-276-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFAFF",
        "first_name": "ANDREW",
        "middle_name": "DAVIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008077",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "01100080007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apfaff1@spineandpain.emadirect.md",
            "affiliation": "N",
            "address_1": "6355 Walker Ln Ste 507",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223103251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2199 Old Bridge Rd",
            "city": "Lake Ridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221922911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6201 Annapolis Rd",
            "city": "Landover Hills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207841307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Ridge, VA

Sources for this page

Verify at the official NPI Registry.