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

Stella Basoah

Individual provider Physician Assistant · NPI 1982351300

Stella Basoah is a Physician Assistant in Woodbridge, Virginia. Qualified in 2022, 4 years ago. Practices with Potomac Urology Center, LLC, a 17-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

2296 Opitz Blvd Ste 350
Woodbridge, VA 22191-3346
Phone: (703) 680-2111
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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 number1982351300
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2022
Last updated in NPPESApril 5, 2025
Certification dateApril 5, 2025
Mailing address8500 Sky View Dr Apt 103, Alexandria, VA 22309-8410

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Potomac Urology Center, Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Woodbridge