MARY C TISCH PA
NPI 1558566455
Physician Assistant in Fairfax, VA
About Mary C Tisch Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY C TISCH PA (NPI 1558566455) is an individual physician assistant in Fairfax, Virginia, licensed in Virginia (0110003594) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and maintains a secondary practice location in Falls Church.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary C Tisch Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Alexandria Hospital
Acute Care Hospitals · Alexandria, VAInova Loudoun Hospital
Acute Care Hospitals · Leesburg, VAInova Fairfax Hospital
Acute Care Hospitals · Falls Church, VAInova Fair Oaks Hospital
Acute Care Hospitals · Fairfax, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Tisch's NPI number?
The NPI number for Mary Tisch is 1558566455. It was assigned to this individual provider in the NPPES registry on June 19, 2007. The provider is also known as Mary C Campbell PA.
Where is Mary Tisch located?
Mary Tisch practices at 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033. The listed phone number is (703) 648-3266.
What is Mary Tisch's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mary Tisch enrolled in Medicare?
Yes. Mary Tisch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Mary Tisch affiliated with any hospitals?
According to CMS data, Mary Tisch is affiliated with Inova Alexandria Hospital, Inova Loudoun Hospital, Inova Fairfax Hospital and Inova Fair Oaks Hospital.
When was this NPI record last updated?
The NPPES record for Mary Tisch was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary C Tisch, PA · NPI 1558566455
Physician Assistant physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since June 19, 2007.
## Identity
- **NPI:** 1558566455 (Entity type: Individual)
- **Enumerated:** June 19, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 0110003594 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3580 JOSEPH SIEWICK DR STE 305, Fairfax, VA 22033-1764
- **Phone:** (703) 648-3266 · **Fax:** (703) 648-3264
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** August 27, 2021
- **Other identifiers:** Medicaid 1558566445 (VA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1558566455) · Data from the CMS NPPES public registry.