Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Kevin S Fuller, PA-C

Physician Assistant in Fairfax, VA · enumerated 2008 · practices at Virginia Surgery Associates, P.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417119652

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Registry record

Entity type Individual (Type 1)

Name Mr. Kevin S Fuller

Credential PA-C

Sex Male

Practice address 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA, 22033

Phone (703) 359-8640

Fax (703) 591-6105

Enumeration date Jun 30, 2008

Last updated in NPPES Apr 21, 2021

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0110001208 (VA) Primary

Other identifiers

Identifier	Type	State	Issuer
0110001208	Other	VA	LICENSE NUMBER
1417119652	Medicaid	VA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Kevin Fuller's NPI record?

Cross-check NPI 1417119652 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1417119652 active?

Yes, as of the latest NPPES snapshot, NPI 1417119652 is active (record last updated 2021-04-21).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-21.