Individual provider Active NPI

Anna Kata

  • Colon & Rectal Surgery Physician
  • Fairfax, VA
National Provider Identifier
1821483629
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
0101278849 Issued in VA
Practice address
2710 Prosperity Ave Ste 200
Fairfax, VA 22031-4358
Phone
(703) 280-2841
Fax
(703) 712-8304
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 0101278849 VA Primary

Addresses

Primary practice location

2710 Prosperity Ave Ste 200
Fairfax, VA 22031-4358

Mailing address

2710 Prosperity Ave Ste 200
Fairfax, VA 22031-4358
Phone (703) 280-2841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230809002573 VA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 3072975994 Reassigns benefits to 1 organization
I20231002002592 DC Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 3072975994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of California, San Francisco School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairfax Colon and Rectal Surgery PCGroup PAC ID 4385628411, 12 clinicians

Practice addresses (Care Compare)

2710 Prosperity Ave
Suite 200
Fairfax, VA 22031-4358
Phone (703) 280-2841

7051 Heathcote Village Way
Suite 135
Gainesville, VA 20155-3196
Phone (703) 280-2841

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Colon & Rectal Surgery, PC Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
Fairfax Colon & Rectal Surgery Center, LLC Colon & Rectal Surgery Past Accepting new patients

Locations

2710 Prosperity Ave
Ste 200
Fairfax, VA 22031
Phone (703) 650-2333

2710 Prosperity Ave
Fairfax, VA 22031
Phone (702) 289-1290

7051 Heathcote Village Way
Ste 135
Gainesville, VA 20155

44055 Riverside Pkwy
Ste 102
Leesburg, VA 20176
Phone (703) 858-1500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAEJBD
  • Direct secure messaging: akata582780@direct.healthsystem.virginia.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1821483629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 PROSPERITY AVE STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314358",
            "telephone_number": "703-280-2841",
            "fax_number": "703-712-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 PROSPERITY AVE STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314358",
            "telephone_number": "703-280-2841",
            "fax_number": "703-712-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATA",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "VA",
            "license": "0101278849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.