Individual provider Active NPI

Laura Ispas, MD

  • Allergy Physician
  • Leesburg, VA
National Provider Identifier
1548340748
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0101249276 Issued in VA
Practice address
19455 Deerfield Ave Ste 207
Leesburg, VA 20176-8102
Phone
(571) 399-5132
Fax
(703) 723-9800
NPI assigned
Oct 16, 2006
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 29320 AZ
Allergy Physician 207KA0200X 0101249276 VA Primary

Addresses

Primary practice location

19455 Deerfield Ave Ste 207
Leesburg, VA 20176-8102

Mailing address

19455 Deerfield Ave
Ste 207
Leesburg, VA 20176-8102
Phone (571) 399-5132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160419000572 VA Practitioner - Allergy/Immunology 0749253813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19455 Deerfield Ave
Suite 207
Leesburg, VA 20176-8102
Phone (571) 399-5132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29320AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma & Immunology Institute CurrentSince Mar 1, 2016 Accepting new patients
Allergy Asthma Clinic LTD PastSince Jul 1, 2016 Accepting new patients

Locations

19455 Deerfield Ave
Ste 205
Leesburg, VA 20176
Phone (703) 723-3670

19455 Deerfield Ave
Ste 207
Leesburg, VA 20176
Phone (571) 399-5132

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21764/brand/1/csg/1/fhir/r4

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1548340748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE",
            "address_2": "STE 207",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768102",
            "telephone_number": "571-399-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE STE 207",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768102",
            "telephone_number": "571-399-5132",
            "fax_number": "703-723-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISPAS",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AZ",
            "license": "29320",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101249276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.