Milagros Rocio Shepard, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110-005873 Issued in VA

Practice address

1359 Beverly Rd
MC Lean, VA 22101-3666

Phone

(703) 893-1114

NPI assigned

Sep 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Galaria Plastic Surgery and Dermatology PLCGroup PAC ID 7517005515, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Galaria Plastic Surgery and Dermatology, PLC

  • Plastic Surgery Physician
  • Chantilly, VA
  • NPI 1881829703
  Medicare reassignment Care Compare group
• Skin and Laser Surgery Center

  • MOHS-Micrographic Surgery Physician
  • Vienna, VA
  • NPI 1720277932

  DC

  Medicare reassignment
• Galaria Plastic Surgery & Dermatology

  • Multi-Specialty Clinic/Center
  • Chantilly, VA
  • NPI 1881052165
  NPD (past)
• Thomas H Rhee, MD, PC

  • Otolaryngology Physician
  • Manassas, VA
  • NPI 1720273972
  NPD (past)

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1861911364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BROCKMAN CT",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661132",
            "telephone_number": "703-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 BEVERLY RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013666",
            "telephone_number": "703-893-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "MILAGROS",
        "middle_name": "ROCIO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-005873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny April Sharon, PT, DPT, CKTP
• Alexis Danielle Shay, PT
• Steven Zachary Sheats
• Arshuman Tariq Sheikh
• Vivian Allison Shelton, PSY.D.
• Trushita Sheth, PT
• Michael Shiau, DDS
• Jeanne W Shiffman, M.D.
• Sung Ryan Shin, PA-C, DHSC
• Julia W Shiner, M.D.

• Medical Physician Assistant in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.

Verify at the official NPI Registry.