Active NPI
Sanae Kolyani, CRNA
- Certified Registered Nurse Anesthetist
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024165570
- Practice address
- 3300 Gallows Rd
Fairfax Inova Hospital
Falls Church, VA 22042-3307 - Phone
- (703) 776-3138
- NPI assigned
- Jun 17, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024165570 | VA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN961245 | DC |
Addresses
Primary practice location
3300 Gallows Rd
Fairfax Inova Hospital
Falls Church, VA 22042-3307
Mailing address
3100 Spring Forest Rd Ste 130
Raleigh, NC 27616-2880
Phone (919) 882-0705
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085385700 | Medicaid | DC | |
| 015090800 | Medicaid | MD | |
| 1568407286 | Medicaid | VA |
Other names 1
- Miss Sanae Koizumi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Hospital & facility affiliations
- Inova Fairfax Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024165570 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Old Dominion Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Dominion Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4660 Kenmore Ave
Ste 810
Alexandria, VA 22304
Phone (703) 823-0333
1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393
1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
8140 Ashton Ave
Ste 212
Manassas, VA 20109
Phone (703) 362-3114
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Arlington, VA
- NPI 1073554952
DC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
DC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1568407286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD STE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "919-882-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"address_2": "FAIRFAX INOVA HOSPITAL",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "703-776-3138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLYANI",
"first_name": "SANAE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024165570",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DC",
"license": "RN961245",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085385700",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015090800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568407286",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANAE",
"last_name": "KOIZUMI",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.