Individual provider Active NPI

John W Klousia, MD

  • Urology Physician
  • Alexandria, VA
National Provider Identifier
1063491603
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
021065 Issued in VA
Practice address
7910 Andrus Rd
Suite 6
Alexandria, VA 22306-3171
Phone
(703) 780-5474
Fax
(703) 799-4092
NPI assigned
Jan 12, 2006
Last updated
Nov 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 021065 VA Primary
Urology Physician 208800000X VA021065 VA

Addresses

Primary practice location

7910 Andrus Rd
Suite 6
Alexandria, VA 22306-3171

Mailing address

7910 Andrus Rd
Suite 6
Alexandria, VA 22306-3171
Phone (703) 780-5474

Other identifiers 1

IdentifierTypeStateIssuer
010273404MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021065VAMDUrology Physician
VA021065VAMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1063491603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 ANDRUS RD",
            "address_2": "SUITE 6",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063171",
            "telephone_number": "703-780-5474",
            "fax_number": "703-799-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 ANDRUS RD",
            "address_2": "SUITE 6",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063171",
            "telephone_number": "703-780-5474",
            "fax_number": "703-799-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOUSIA",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "021065",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "VA021065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010273404",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.