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DR. ALICIA DERUSSO ST. THOMAS MD
NPI 1982220190
Obstetrics & Gynecology in Fairfax, VA

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment
10521 ROSEHAVEN ST STE LL100, FAIRFAX, VA 22030(703) 281-5000(703) 255-0765 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alicia Derusso St. Thomas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALICIA DERUSSO ST. THOMAS MD (NPI 1982220190) is an individual obstetrics & gynecology provider in Fairfax, Virginia, licensed in Virginia (0101281670) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2020).

NPPES Registry Identity

NPI1982220190
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ALICIA DERUSSO ST. THOMASCredential: MD
Location Address10521 ROSEHAVEN ST STE LL100Fairfax, VA 22030-2877
Mailing Address8110 Maple Lawn Blvd Ste 235Fulton, MD 20759-2694 · (301) 340-8339 · Fax (301) 340-9027
Phone(703) 281-5000
Fax(703) 255-0765
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2020
Enumeration DateJune 23, 2020
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1982220190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101281670
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10521 ROSEHAVEN ST STE LL100, Fairfax, VA 22030
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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

Dr. Alicia Derusso St. Thomas Md 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.

PECOS PAC ID5991145401
PECOS Enrollment IDI20240624000836
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA WILSON
Nurse Practitioner (Women's Health)
10521 ROSEHAVEN ST STE LL100
FAIRFAX, VA 22030
Fairfax City (703) 281-5000
MS. SUSAN M MERSCH CNM
Advanced Practice Midwife
10521 ROSEHAVEN ST STE LL100
FAIRFAX, VA 22030
Fairfax City (703) 281-5000
DR. ALLISON LOUISE HEIDEN M.D.
Obstetrics & Gynecology
10521 ROSEHAVEN ST STE LL100
FAIRFAX, VA 22030
Fairfax City (248) 787-8102
LEAH NICOLE FOSTER M.D.
Obstetrics & Gynecology
10521 ROSEHAVEN ST STE LL100
FAIRFAX, VA 22030
Fairfax City (703) 281-5000
MEENA S. EGO-OSUALA P.A.-C
Physician Assistant
10521 ROSEHAVEN ST STE LL100
FAIRFAX, VA 22030
Fairfax City (703) 281-5000

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 Alicia St. Thomas's NPI number?

The NPI number for Alicia St. Thomas is 1982220190. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Alicia St. Thomas located?

Alicia St. Thomas practices at 10521 Rosehaven St Ste Ll100, Fairfax, VA 22030. The listed phone number is (703) 281-5000.

What is Alicia St. Thomas's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Alicia St. Thomas enrolled in Medicare?

Yes. Alicia St. Thomas 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.

When was this NPI record last updated?

The NPPES record for Alicia St. Thomas was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.