Active NPI
Inzhili Kenan Kitto, M.D.
- Plastic Surgery Physician
- North Chesterfield, VA
National Provider Identifier
1780976712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 0101261701
- Practice address
- 1011 Johnston Willis Dr Ste 110
North Chesterfield, VA 23235 - Phone
- (804) 787-4927
- NPI assigned
- May 10, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 0101261701 | VA | Primary |
Addresses
Primary practice location
1011 Johnston Willis Dr Ste 110
North Chesterfield, VA 23235
Mailing address
1011 Johnston Willis Dr Ste 110
North Chesterfield, VA 23235-4872
Phone (804) 294-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20180612000202 | VA | Practitioner - Plastic and Reconstructive Surgery | 1951656149 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101261701 | VA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1780976712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 JOHNSTON WILLIS DR STE 110",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354872",
"telephone_number": "804-294-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 JOHNSTON WILLIS DR STE 110",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "23235",
"telephone_number": "804-787-4927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTO",
"first_name": "INZHILI",
"middle_name": "KENAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101261701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.