Individual provider Active NPI

Anca I Sisu, MD

  • Family Medicine Physician
  • Alexandria, VA
National Provider Identifier
1215258165
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101262726 Issued in VA
Practice address
20 S Quaker LN Ste 220
Alexandria, VA 22314-4500
Phone
(703) 215-2454
Fax
(703) 828-0246
NPI assigned
Jun 15, 2010
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101262726 VA Primary

Addresses

Primary practice location

20 S Quaker LN Ste 220
Alexandria, VA 22314-4500

Mailing address

20 S Quaker LN Ste 220
Alexandria, VA 22314-4500
Phone (703) 215-2454

Other practice location 1

1225 Martha Custis Dr Ste C1
Alexandria, VA 22302
Phone (703) 671-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 10, 2017 through Oct 10, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101262726VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Balance Integrative Medicine PLLC Family Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

20 S Quaker Ln
Ste 220
Alexandria, VA 22314
Phone (703) 215-2454

5236 Dawes Ave
Alexandria, VA 22311
Phone (571) 306-0121

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1215258165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S QUAKER LN STE 220",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144500",
            "telephone_number": "703-215-2454",
            "fax_number": "703-828-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S QUAKER LN STE 220",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144500",
            "telephone_number": "703-215-2454",
            "fax_number": "703-828-0246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Martha Custis Dr Ste C1",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "22302",
            "country_code": "US",
            "telephone_number": "703-671-2700",
            "fax_number": "703-671-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISU",
        "first_name": "ANCA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101262726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.