Individual provider Active NPI

Andrew David Elkins, PA-C

  • Physician Assistant
  • Fairfax, VA
National Provider Identifier
1962749374
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004105 Issued in VA
Practice address
3620 Joseph Siewick Dr
Ste 100
Fairfax, VA 22033-1757
Phone
(703) 810-5223
Fax
(703) 810-5403
NPI assigned
Jan 7, 2013
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 0110004105 VA Primary

Addresses

Primary practice location

3620 Joseph Siewick Dr
Ste 100
Fairfax, VA 22033-1757

Mailing address

PO Box 75420
Baltimore, MD 21275-5420
Phone (703) 383-6469

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aelkins6413@direct.orthovirginia.com Other
Direct Messaging Address aelkins6413@direct.orthovirginia.com Other

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130212000299 DC Practitioner - Physician Assistant 5496909855 Reassigns benefits to 1 organization
I20200519000141 VA Practitioner - Physician Assistant 5496909855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11166 Fairfax Blvd
Suite 400
Fairfax, VA 22030-5017
Phone (703) 435-6604

1860 Town Ctr Dr
Suite 300
Reston, VA 20190-5900
Phone (703) 435-6604

44095 Pipeline PLZ
Suite 370
Ashburn, VA 20147-7518
Phone (703) 435-6604

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Town Center Orthopaedic Associates, P.C. CurrentSince Jan 3, 2022 Accepting new patients
Maine Urgent Care, LLC Past Accepting new patients

Locations

44095 Pipeline Plz
Ste 370
Ashburn, VA 20147
Phone (571) 623-3500

6201 Centreville Rd
Ste 600
Centreville, VA 20121
Phone (571) 261-6177

11166 Fairfax Blvd
Ste 400
Fairfax, VA 22030
Phone (571) 367-9849

1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684

Interoperability endpoints

  • Direct secure messaging: aelkins6413@direct.orthovirginia.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1962749374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75420",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755420",
            "telephone_number": "703-383-6469",
            "fax_number": "703-385-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331757",
            "telephone_number": "703-810-5223",
            "fax_number": "703-810-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-07",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aelkins6413@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Elkins direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aelkins6413@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Elkins direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.