Active NPI
Catherine Jonnakuty Ellis, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0101259955
- Practice address
- 19450 Deerfield Avenue, Suite 200
Leesburg, VA 20176-6821 - Phone
- (703) 844-8380
- Fax
- (703) 263-8393
- NPI assigned
- May 8, 2007
- Last updated
- Oct 9, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MT189022 | PA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101259955 | VA | Primary |
Addresses
Primary practice location
19450 Deerfield Avenue, Suite 200
Leesburg, VA 20176-6821
Mailing address
224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30015941210002 | Medicaid | VA | |
| 1548473150 | Medicaid | VA |
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
- Endocrinology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19450 Deerfield Ave
Suite 200
Leesburg, VA 20176-6821
Phone (703) 844-8380
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT189022 | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
| 0101259955 | VA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Endocrinology Consultants, P.C. | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
| Hand Therapy Center, LLC | Past | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
19450 Deerfield Ave
Ste 200
Leesburg, VA 20176
Phone (703) 723-7337
19450 Deerfield Ave
Ste 300
Leesburg, VA 20176
Phone (703) 723-6774
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
24430 Stone Springs Blvd
Ste 100
Sterling, VA 20166
Phone (703) 723-6774
Interoperability endpoints
- catherine.ellis@lmg1.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Leesburg, VA
- NPI 1679591440
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, Endocrinology, Diabetes & Metabolism
-
dba Loudoun Medical Group, PC 'D'
- Vascular Surgery Physician
- Reston, VA
- NPI 1588376321
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, NJ
- NPI 1275721342
-
- Rehabilitation Clinic/Center
- Englewood, NJ
- NPI 1417078916
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": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1548473150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224D CORNWALL ST NW STE 403",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762704",
"telephone_number": "703-737-6010",
"fax_number": "571-291-9786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19450 DEERFIELD AVENUE, SUITE 200",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201766821",
"telephone_number": "703-844-8380",
"fax_number": "703-263-8393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "CATHERINE",
"middle_name": "JONNAKUTY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MT189022",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "0101259955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30015941210002",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548473150",
"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 Oct 9, 2023; 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.