Leila I. Kump, M.D.
Individual provider Active NPI Ophthalmology Physician · Great Falls, VA
NPI 1699894535 · NPPES record last updated Oct 29, 2022
Key facts
- NPI
- 1699894535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- D0067770 (MD)
- 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
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111229000645 | DC | Practitioner - Ophthalmology | 6002082773 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0067770 | MD | Yes |
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
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All providers in Great Falls, VA · Ophthalmology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.