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

Deepika Mathialagan

Individual provider Physician Assistant · NPI 1730742594

Deepika Mathialagan is a Physician Assistant in Herndon, Virginia. Qualified in 2019, 7 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2019

Practice location Address checks out

590 Grove St
Herndon, VA 20170-4725
Phone: (800) 275-8777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1730742594
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address590 Grove St, Herndon, VA 20170-4725

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Herndon