Active NPI
Issam Khayata, MD
- Pain Medicine (Anesthesiology) Physician
- Sterling, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 0101259392
- Practice address
- 20 Pidgeon Hill Dr
Ste 205
Sterling, VA 20165-6134 - Phone
- (508) 334-3271
- Fax
- (508) 856-5911
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101259392 | VA | |
| Anesthesiology Physician | 207L00000X | 212629 | MA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101259392 | VA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 0101259392 | VA | Primary |
Addresses
Primary practice location
20 Pidgeon Hill Dr
Ste 205
Sterling, VA 20165-6134
Mailing address
PO Box 2521
Reston, VA 20195-0521
Other practice location 1
44055 Riverside Pkwy Ste 110
Leesburg, VA 20176-5155
Phone (703) 858-6115
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0179043 | Medicaid | MA | |
| 30015831410003 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Inova Health Care Services
Practice addresses (Care Compare)
3800 Fettler Park Dr
Dumfries, VA 22025-2043
Phone (571) 472-6791
44055 Riverside Pkwy
Leesburg, VA 20176-5155
44055 Riverside Pkwy
Leesburg, VA 20176-5179
Phone (703) 858-6192
Hospital & facility affiliations
- Inova Fairfax Hospital
- Inova Loudoun Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212629 | MA | MD | Anesthesiology Physician |
| 0101259392 | VA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Virginia, LLC | Anesthesiology | Current | Accepting new patients |
| Inova Health Care Services | Critical Care Medicine | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Virginia, PC | Anesthesiology | Current | Accepting new patients |
| Old Dominion Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Inova Health Care Services | Critical Care Medicine | Current | Accepting new patients |
| Anesthesia Associates of Springfield Inc | Anesthesiology | Past | Accepting new patients |
| Emerson Anesthesia Associates P C | Anesthesiology | Past | Accepting new patients |
| Washington Nephrology Associates, L.L.P. | Past | Accepting new patients |
Locations
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750
3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393
1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484
3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791
8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200
8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600
3620 Joseph Siewick Dr
Ste 202
Fairfax, VA 22033
Phone (703) 766-6960
3028 Javier Rd
Ste 400
Fairfax, VA 22031
Phone (703) 716-1097
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
44055 Riverside Pkwy
Ste 110
Leesburg, VA 20176
Phone (703) 391-4500
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44055 Riverside Pkwy
Ste 118
Leesburg, VA 20176
Phone (571) 472-4600
44055 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 724-7530
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
Interoperability endpoints
- ikhayata1287080@soc.inova.org
Organizations & group practices 10
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.
-
- Neurological Surgery Physician
- Dumfries, VA
- NPI 1538870191
Critical Care Medicine, DC
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
Critical Care Medicine, DC
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Anesthesiology Physician
- Wilbraham, MA
- NPI 1659475903
-
- Anesthesiology Physician
- Concord, MA
- NPI 1306945027
-
- Nephrology Physician
- Rockville, MD
- NPI 1124193479
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1174576581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2521",
"city": "RESTON",
"state": "VA",
"postal_code": "201950521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PIDGEON HILL DR",
"address_2": "STE 205",
"city": "STERLING",
"state": "VA",
"postal_code": "201656134",
"telephone_number": "508-334-3271",
"fax_number": "508-856-5911"
}
],
"practiceLocations": [
{
"address_1": "44055 Riverside Pkwy Ste 110",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201765155",
"country_code": "US",
"telephone_number": "703-858-6115",
"fax_number": "571-665-6634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAYATA",
"first_name": "ISSAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101259392",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "212629",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "VA",
"license": "0101259392",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VA",
"license": "0101259392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0179043",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30015831410003",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.