Individual provider Active NPI

Kathy Katusha, MD

  • Specialist
  • Vienna, VA
National Provider Identifier
1235144635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101043850 Issued in VA
Practice address
8233 Old Courthouse Rd
Suite 170
Vienna, VA 22182-3816
Phone
(703) 556-9318
Fax
(703) 448-8839
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101043850 VA Primary

Addresses

Primary practice location

8233 Old Courthouse Rd
Suite 170
Vienna, VA 22182-3816

Mailing address

53 Kennedy St
Alexandria, VA 22305-2518
Phone (703) 548-6552

Other identifiers 1

IdentifierTypeStateIssuer
5861713MedicaidVA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pain & Rehab, LLC Past Accepting new patients
Advanced Physical Medicine & Rehabilitation of Virginia Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235144635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 KENNEDY ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223052518",
            "telephone_number": "703-548-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8233 OLD COURTHOUSE RD",
            "address_2": "SUITE 170",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823816",
            "telephone_number": "703-556-9318",
            "fax_number": "703-448-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATUSHA",
        "first_name": "KATHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101043850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5861713",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.