Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew John Itutud Derks, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1295218089

Andrew John Itutud Derks, PHYSICIANASSISTANT is a Physician Assistant in Fairfax, Virginia. Qualified in 2018, 8 years ago. Practices with Inova Health Care Services, a 1,827-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2018
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Practice location Address checks out

8260 Willow Oaks Corporate Dr Ste 650
Fairfax, VA 22031-4531
Phone: (703) 776-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009513 (VA)

Record details

NPI number1295218089
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 8, 2018
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Fairfax