Andrew Leonard Kochuba, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101274320 Issued in VA

Practice address

1825 Samuel Morse Dr
Reston, VA 20190-5317

Phone

(703) 893-6168

NPI assigned

Aug 19, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• The Austin-Weston Center for Cosmetic Surgery

  • Ambulatory Surgical Clinic/Center
  • Reston, VA
  • NPI 1174613186
  NPD (past)
• The Hunstad Kortesis Center

  • Plastic and Reconstructive Surgery Physician
  • Huntersville, NC
  • NPI 1437386067
  NPD (past)

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1083994271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SAMUEL MORSE DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905317",
            "telephone_number": "703-893-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SAMUEL MORSE DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905317",
            "telephone_number": "703-893-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHUBA",
        "first_name": "ANDREW",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "DC",
            "license": "MD210002211",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0093948",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2018-02093",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101274320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy B Kirby, MD
• Monica Kirk, CPNP-PC, APRN
• Thomas J Klein, MD
• Britt Christina Klick, PA
• Alexandra Elizabeth Knight
• Kyle Kohnen, DPT
• William Kohns
• Sarah Jacqueline Kolling, AU.D.
• Padmalatha R Kona, MD
• Julija Kondratyuk, D.M.D

• Plastic Surgery Physician in Reston, VA
• Providers in Reston, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.