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

Dr. Alicia Derusso St Thomas, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982220190

Dr. Alicia Derusso St Thomas, MD is an Obstetrics/Gynecology in Fairfax, Virginia. Graduated from Eastern Virginia Medical School in 2020, 6 years ago. Practices with Capital Womens Care LLC, a 287-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Trained at
Eastern Virginia Medical School
Licensed in
VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10521 Rosehaven St Ste LL100
Fairfax, VA 22030-2877
Phone: (703) 281-5000
Fax: (703) 255-0765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 0101281670 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982220190
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Capital Womens Care Llc — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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