Individual provider Active NPI

Kestutis Aukstuolis, DO

  • Allergy & Immunology Physician
  • Vienna, VA
National Provider Identifier
1831400548
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0102202879 Issued in VA
Practice address
1945 Old Gallows Rd Ste 205
Vienna, VA 22182-3931
Phone
(703) 403-5413
NPI assigned
Jun 28, 2010
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0102202879 VA Primary

Addresses

Primary practice location

1945 Old Gallows Rd Ste 205
Vienna, VA 22182-3931

Mailing address

1945 Old Gallows Rd Ste 205
Vienna, VA 22182-3931
Phone (703) 403-5413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, 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
I20210622003343 WA Practitioner - Allergy/Immunology 0345575668 Reassigns benefits to 1 organization
I20240911004856 DC Practitioner - Allergy/Immunology 0345575668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kaufman Allergy Asthma and Immunology, PLLCGroup PAC ID 5092126789, 3 clinicians

Practice addresses (Care Compare)

1945 Old Gallows Rd
Suite 205
Vienna, VA 22182-3931
Phone (703) 403-5413

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Asthma & Allergy Center Allergy & Immunology CurrentSince Jul 1, 2021 Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology CurrentSince Jul 1, 2021 Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology Current Accepting new patients
Kaufman Allergy Asthma and Immunology, PLLC Allergy & Immunology CurrentSince Sep 3, 2024 Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology Past Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1945 Old Gallows Rd
Ste 205
Vienna, VA 22182
Phone (703) 403-5413

8320 Old Courthouse Rd
Ste 310
Vienna, VA 22182
Phone (703) 403-5413

10333 19th Ave SE
Ste 105
Everett, WA 98208
Phone (425) 385-2802

9521 Sandifur Pkwy
#2
Pasco, WA 99301
Phone (509) 946-0189

9725 3rd Ave NE
Ste 500
Seattle, WA 98115
Phone (206) 527-1200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22644/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/26116/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kestutis.aukstuolis.1@22644.direct.athenahealth.com

Organizations & group practices 7

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1831400548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 OLD GALLOWS RD STE 205",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823931",
            "telephone_number": "703-403-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 OLD GALLOWS RD STE 205",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823931",
            "telephone_number": "703-403-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUKSTUOLIS",
        "first_name": "KESTUTIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0102202879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.