Active NPI
Anil Mathew Chenthitta, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 0101252929
- Practice address
- 19450 Deerfield Ave Ste 280
Leesburg, VA 20176-6821 - Phone
- (571) 510-3815
- Fax
- (571) 510-3675
- NPI assigned
- Jun 5, 2009
- Last updated
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ME128763 | FL | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 0101252929 | VA | Primary |
Addresses
Primary practice location
19450 Deerfield Ave Ste 280
Leesburg, VA 20176-6821
Mailing address
19450 Deerfield Ave Ste 280
Leesburg, VA 20176-6821
Phone (571) 510-3815
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101252929 | Other | VA | LICENSE NO |
| 1275769168 | Medicaid | VA | |
| P01159671 | Other | VA | RR MEDICARE |
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
- Interventional Pain Management
- Education
- University of Texas Southwestern Medical School at Dallas, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
19450 Deerfield Ave
Suite 280
Leesburg, VA 20176-6821
Phone (571) 510-3815
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101252929 | VA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Interoperability endpoints
- anil.chenthitta@direct.einstein.edu
- https://fhir4.healow.com/fhir/r4/GDBHCD/Endpoint/GDBHCD
Organizations & group practices 1
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1275769168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19450 DEERFIELD AVE STE 280",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201766821",
"telephone_number": "571-510-3815",
"fax_number": "571-510-3675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19450 DEERFIELD AVE STE 280",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201766821",
"telephone_number": "571-510-3815",
"fax_number": "571-510-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENTHITTA",
"first_name": "ANIL",
"middle_name": "MATHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-05",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME128763",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "VA",
"license": "0101252929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO",
"identifier": "0101252929",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275769168",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01159671",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.