THERESE SOBALLE CERMAK MD NPI 1346480936

NPI Information

  • NPI: 1346480936
  • Provider Name: THERESE SOBALLE CERMAK, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1850 TOWN CENTER PKWY
    RESTON, VA
    ZIP 20190
  • Phone: (703) 689-9093

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NPI Details

Therese Soballe Cermak, MD is an anatomic pathology and clinical pathology pathology in Reston, VA with 32 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Therese Soballe Cermak, MD NPI is 1346480936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1994

The provider's business location address is:

1850 TOWN CENTER PKWY
RESTON, VA
ZIP 20190-204
Phone: (703) 689-9093
Fax: (703) 639-9580

The NPI 1346480936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Pathology examination of tissue using a microscope, high complexity (HCPCS:88309)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Pathology cytologic examination of specimen during surgery, initial site (HCPCS:88333)

The enumeration date for this NPI number is 2/23/2009 and was last updated on 7/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMD035880DISTRICT OF COLUMBIAYes
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology0101053571VIRGINIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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