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

Individual provider Physician Assistant · NPI 1407220353

Srividya Thotakura, PAC is a Physician Assistant in Herndon, Virginia. Qualified in 2015, 11 years ago. Practices with Usacs Integrated Acute Care Services of Maryland LLC, a 182-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2015
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

13158 Ruby Lace Ct
Herndon, VA 20171-2337
Phone: (612) 200-4585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407220353
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorYes
NPI enumeratedNovember 16, 2015
Last updated in NPPESNovember 16, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Usacs Integrated Acute Care Services Of Maryland Llc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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