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

Therese Soballe Cermak, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346480936

Therese Soballe Cermak, MD is a Pathology in Reston, Virginia. Graduated from Medical University of South Carolina College of Medicine in 1994, 32 years ago. Practices with Forward Pathology Solutions LLC, a 25-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Virginia.

Years since qualifying
32
Trained at
Medical University of South Carolina College of Medicine
Licensed in
DC, VA
In the registry since
2009
Specialties on file
3
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

1850 Town Center Pkwy
Reston, VA 20190-3204
Phone: (703) 689-9093
Fax: (703) 639-9580
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD035880 (DC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 0101053571 (VA)

Record details

NPI number1346480936
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 23, 2009
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Forward Pathology Solutions Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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