Individual provider Active NPI

Sandra K Forti, PAC

  • Physician Assistant
  • Bethesda, MD
National Provider Identifier
1982650685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001446 Issued in VA
Practice address
8600 Old Georgetown Rd
Suburban ER
Bethesda, MD 20814
Phone
(301) 896-3880
Fax
(301) 897-1358
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0110001446 VA Primary

Addresses

Primary practice location

8600 Old Georgetown Rd
Suburban ER
Bethesda, MD 20814

Mailing address

1106 Emerald Drive
Alexandria, VA 22308
Phone (703) 360-1159

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
I20100422000186 DC Practitioner - Physician Assistant 2466589593 Reassigns benefits to 2 organizations
I20240328000933 VA Practitioner - Physician Assistant 2466589593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

3301 Wilson Blvd
Arlington, VA 22201-2228
Phone (703) 243-6720

6244 A Little River Tpke
Alexandria, VA 22312-1714
Phone (703) 564-0000

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 1, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 1, 2021 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Emergency Medicine Associates P.a., P.C. Past Accepting new patients
Emergency Medicine Associates Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6244A Little River Tpke
Alexandria, VA 22312
Phone (703) 564-0000

6244 Little River Tpke
#A
Alexandria, VA 22312

3301 Wilson Blvd
Arlington, VA 22201
Phone (703) 243-6720

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

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

8644 Sudley Rd
#220
Manassas, VA 20110

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sandra.forti.1@8042.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982650685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 EMERALD DRIVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22308",
            "telephone_number": "703-360-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 OLD GEORGETOWN RD",
            "address_2": "SUBURBAN ER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-896-3880",
            "fax_number": "301-897-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTI",
        "first_name": "SANDRA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.