Individual provider Active NPI

Sabita M. Ittoop, MD

  • Ophthalmology Physician
  • Herndon, VA
National Provider Identifier
1194965830
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101253897 Issued in VA
Practice address
171 Elden St
Suite 100
Herndon, VA 20170-4875
Phone
(703) 689-2020
Fax
(703) 485-1153
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101253897 VA Primary

Addresses

Primary practice location

171 Elden St
Suite 100
Herndon, VA 20170-4875

Mailing address

171 Elden St
Suite 100
Herndon, VA 20170-4875
Phone (201) 960-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130828000285 DC Practitioner - Ophthalmology 6406002112 Reassigns benefits to 3 organizations
I20130912000435 VA Practitioner - Ophthalmology 6406002112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists and Surgeons of Northern Virginia LLCGroup PAC ID 1658672886, 11 clinicians

Practice addresses (Care Compare)

3998 Fair Ridge Dr
Suite 105
Fairfax, VA 22033-2980
Phone (571) 349-2191

7915 Lake Manassas Dr
Suite 210
Gainesville, VA 20155-3259
Phone (571) 349-2191

8644 Sudley Rd
Suite 201
Manassas, VA 20110-4425
Phone (571) 349-2191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Consultants of Washington, Inc. Ophthalmology CurrentSince Aug 1, 2013 Accepting new patients
Glaucoma Consultants of Washington, Inc. Ophthalmology CurrentSince Aug 1, 2013 Accepting new patients
Eye Specialists and Surgeons of Northern Virginia, LLC Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
Medical Faculty Associates, Inc Ophthalmology CurrentSince Sep 4, 2020 Accepting new patients

Locations

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

3998 Fair Ridge Dr
Ste 105
Fairfax, VA 22033
Phone (571) 349-2191

3998 Fair Ridge Dr
Fairfax, VA 22033
Phone (571) 349-2191

7249 Arlington Blvd
Falls Church, VA 22042
Phone (703) 573-1200

7915 Lake Manassas Dr
Ste 210
Gainesville, VA 20155
Phone (571) 349-2191

171 Elden St
Ste 100
Herndon, VA 20170
Phone (703) 689-2020

8644 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (571) 349-2191

1870 Amherst St
Ste 3A
Winchester, VA 22601
Phone (540) 536-3228

212 Linden Dr
Ste 154
Winchester, VA 22601
Phone (540) 313-4435

Interoperability endpoints

  • Direct secure messaging: sittoop@essnv.intellechartdirect.net
  • Direct secure messaging: sittoop19645@gwmfa.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1194965830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 ELDEN ST",
            "address_2": "SUITE 100",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704875",
            "telephone_number": "201-960-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ELDEN ST",
            "address_2": "SUITE 100",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704875",
            "telephone_number": "703-689-2020",
            "fax_number": "703-485-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITTOOP",
        "first_name": "SABITA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101253897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.