Individual provider Active NPI

Ludmila Marie Kissi, M.D.

  • Internal Medicine Physician
  • Gainesville, VA
National Provider Identifier
1477723260
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101236996 Issued in VA
Practice address
14800 Lee Hwy
Gainesville, VA 20155-1842
Phone
(703) 743-7017
NPI assigned
Mar 7, 2008
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101236996 VA Primary

Addresses

Primary practice location

14800 Lee Hwy
Gainesville, VA 20155-1842

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other names 1

  • Dr. Ludmila Marie Janecka Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20050217000545 VA Practitioner - Internal Medicine 9830141886 Reassigns benefits to 3 organizations
I20090223000258 DC Practitioner - Internal Medicine 9830141886 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14800 Lee Hwy
Gainesville, VA 20155-1842
Phone (703) 743-7017

2199 Old Bridge Rd
Woodbridge, VA 22192-2911
Phone (703) 357-9707

502 W Broad St
Falls Church, VA 22046-3204
Phone (571) 421-8431

60 Prosperity LN
Stafford, VA 22556-4605
Phone (540) 658-2811

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

6311 Richmond Hwy
Alexandria, VA 22306-6410
Phone (703) 647-6087

7042 Little River Tpke
Suite a
Annandale, VA 22003-5973
Phone (703) 343-7125

9715 Liberia Ave
Manassas, VA 20110-5837
Phone (571) 229-1797

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC CurrentSince May 20, 2013 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2013 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Nov 14, 2017 Accepting new patients
Inova Health Care Services CurrentSince Jan 13, 2013 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Nov 14, 2017 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2013 Accepting new patients
Inova Health Care Services Internal Medicine Current Accepting new patients
Nova Medical and Urgent Care Center, Inc. Internal Medicine Past Accepting new patients
Umc Holdings, Inc Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

21785 Filigree Ct
Ste 100
Ashburn, VA 20147
Phone (703) 554-1100

21785 Filigree Ct
Ste 203
Ashburn, VA 20147
Phone (703) 554-1100

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

2990 Telestar Ct
Ste 3UC
Falls Church, VA 22042

14800 Lee Hwy
Gainesville, VA 20155
Phone (703) 743-7017

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44055 Riverside Pkwy
#20811302
Leesburg, VA 20176
Phone (703) 729-7652

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: vaexchange@patientfirstclinics.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1477723260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 LEE HWY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551842",
            "telephone_number": "703-743-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSI",
        "first_name": "LUDMILA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101236996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "14800 Lee Hwy",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201551842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LUDMILA",
            "last_name": "JANECKA",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.