Individual provider Active NPI

Inzhili Kenan Kitto, M.D.

  • Plastic Surgery Physician
  • North Chesterfield, VA
National Provider Identifier
1780976712
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101261701 Issued in VA
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

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180612000202 VA Practitioner - Plastic and Reconstructive Surgery 1951656149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101261701VAMDPlastic 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

Verify at the official NPI Registry.