Individual provider Active NPI

Paul Victor Luisada, M.D.

  • Psychiatry Physician
  • Alexandria, VA
National Provider Identifier
1689601593
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101024658 Issued in VA
Practice address
2616 Sherwood Hall LN
Suite 206
Alexandria, VA 22306-3154
Phone
(703) 922-8484
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101024658 VA Primary

Addresses

Primary practice location

2616 Sherwood Hall LN
Suite 206
Alexandria, VA 22306-3154

Mailing address

2616 Sherwood Hall LN
Suite 206
Alexandria, VA 22306-3154
Phone (703) 922-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20111024000069 DC Practitioner - Psychiatry 1456410505 Practice locations: Alexandria, VA; Springfield, VA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5537 B Hempstead Way
Suite B
Springfield, VA 22151-4010
Phone (703) 922-8484

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101024658VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
No Virginia Institute of Psychiatry Past Accepting new patients
Resource Anesthesiology Associates of VA, LLC PastSince Jan 3, 2020 Accepting new patients
Allied Behavioral Services, Inc Psychiatry Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689601593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE 206",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063154",
            "telephone_number": "703-922-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE 206",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063154",
            "telephone_number": "703-922-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUISADA",
        "first_name": "PAUL",
        "middle_name": "VICTOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101024658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.