Kestutis Aukstuolis, DO
Individual provider Active NPI Allergy & Immunology Physician · Vienna, VA
NPI 1831400548 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1831400548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 0102202879 (VA)
- Practice address
- 1945 Old Gallows Rd Ste 205
Vienna, VA 22182-3931 - Phone
- (703) 403-5413
- NPI assigned
- Jun 28, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- 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, PLLC
Practice addresses (Care Compare)
1945 Old Gallows Rd
Suite 205
Vienna, VA 22182-3931
Phone (703) 403-5413
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, 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 |
|---|---|---|---|---|
| I20210622003343 | WA | Practitioner - Allergy/Immunology | 0345575668 | Reassigns benefits to 1 organization |
| I20240911004856 | DC | Practitioner - Allergy/Immunology | 0345575668 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102202879 | VA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Asthma & Allergy Center | Allergy & Immunology | Current |
Accepting new patients |
| Kaufman Allergy Asthma and Immunology, PLLC | Allergy & Immunology | Current |
Accepting new patients |
| Northwest Asthma & Allergy Center | Allergy & Immunology | Current | Accepting new patients |
| Northwest Asthma & Allergy Center | Allergy & Immunology | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Northwest Asthma & Allergy Center | Allergy & Immunology | Past | Accepting new patients |
| Northwest Asthma & Allergy Center | Allergy & Immunology | Past | Accepting new patients |
Locations
8320 Old Courthouse Rd
Ste 310
Vienna, VA 22182
Phone (703) 403-5413
1945 Old Gallows Rd
Ste 205
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
- https://api.platform.athenahealth.com/22644/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/26116/brand/1/csg/1/fhir/r4
- kestutis.aukstuolis.1@22644.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 0102202879 | VA | Yes |
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
Other providers in Vienna, VA
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- Amber R Atwater
- Jennifer Audibert
- Ara Anthony Avedisian
- Margarita Avedisian
- Arturo Avila-Silva
- Fernando Manuel Avila
- Abdallah Awada
All providers in Vienna, VA · Allergy & Immunology 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 Jul 1, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.