Individual provider Active NPI

Ryan Fitzmorris, PA-C

  • Physician Assistant
  • Fairfax, VA
National Provider Identifier
1982621157
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001601 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
Jul 16, 2006
Last updated
Jul 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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 0110001601 VA Primary
Medical Physician Assistant 363AM0700X 0110001601 VA

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

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
I20110217000580 DC Practitioner - Physician Assistant 0143401539 Reassigns benefits to 2 organizations
I20180420001005 VA Practitioner - Physician Assistant 0143401539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1625 N George Mason Dr
425 VHC Phy GRP OB Hospitalists
Arlington, VA 22205-3686
Phone (703) 717-4502

1701 N George Mason Dr
Arlington, VA 22205-3610

1701 N George Mason Dr
Arlington, VA 22205-3698

1851 N George Mason Dr
Arlington, VA 22207-1953

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110001601VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group LLC CurrentSince May 1, 2024 Accepting new patients
Town Center Orthopaedic Associates PC CurrentSince Mar 5, 2018 Accepting new patients
Town Center Orthopaedic Associates, P.C. CurrentSince Mar 5, 2018 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince May 1, 2024 Accepting new patients
Commonwealth Orthopaedics & Rehabilitation, PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1635 N George Mason Dr
Ste 430
Arlington, VA 22205
Phone (703) 528-3600

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

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

1850 Town Center Pkwy
Ste 400
Reston, VA 20190
Phone (703) 234-1000

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

Interoperability endpoints

  • Direct secure messaging: rfitzmorris13483@direct.virginiahospitalcenter.net

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.

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1982621157",
    "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"
        },
        {
            "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": "FITZMORRIS",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001601",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.