Individual provider Active NPI

Austin Leigh Giunta Churchill, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Falls Church, VA
National Provider Identifier
1043465974
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
0101244561 Issued in VA
Practice address
502 W Broad St Ste 1B
Falls Church, VA 22046-3206
Phone
(703) 894-2224
Fax
(315) 800-5196
NPI assigned
Nov 19, 2008
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101244561 VA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0101244561 VA Primary

Addresses

Primary practice location

502 W Broad St Ste 1B
Falls Church, VA 22046-3206

Mailing address

502 W Broad St Ste 1B
Falls Church, VA 22046-3206
Phone (703) 894-2224

Other identifiers 2

IdentifierTypeStateIssuer
1043465974MedicaidVA
176025OtherMEDICARE

Other names 1

  • Autin Giunta Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101244561VAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cell Bionics Institute LLC Pain Medicine CurrentSince Aug 6, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

502 W Broad St
Ste 1B
Falls Church, VA 22046
Phone (703) 536-4366

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1043465974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W BROAD ST STE 1B",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463206",
            "telephone_number": "703-894-2224",
            "fax_number": "315-800-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W BROAD ST STE 1B",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463206",
            "telephone_number": "703-894-2224",
            "fax_number": "315-800-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHILL",
        "first_name": "AUSTIN LEIGH",
        "middle_name": "GIUNTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101244561",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101244561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043465974",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "176025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTIN",
            "last_name": "GIUNTA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.