Active NPI
Leila I. Kump, M.D.
- Ophthalmology Physician
- Great Falls, VA
National Provider Identifier
1699894535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0067770
- Practice address
- 10132 Colvin Run Rd Ste G
Great Falls, VA 22066-1840 - Phone
- (703) 596-9990
- Fax
- (703) 832-4440
- NPI assigned
- Mar 29, 2007
- Last updated
- Oct 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0067770 | MD | Primary |
Addresses
Primary practice location
10132 Colvin Run Rd Ste G
Great Falls, VA 22066-1840
Mailing address
10132 Colvin Run Rd Ste G
Great Falls, VA 22066-1840
Phone (703) 596-9990
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111229000645 | DC | Practitioner - Ophthalmology | 6002082773 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667001600000",
"number": "1699894535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10132 COLVIN RUN RD STE G",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220661840",
"telephone_number": "703-596-9990",
"fax_number": "703-832-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10132 COLVIN RUN RD STE G",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220661840",
"telephone_number": "703-596-9990",
"fax_number": "703-832-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMP",
"first_name": "LEILA",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2022-10-29",
"certification_date": "2022-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0067770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.