Active NPI
Kevin Charles Lutta, M.D.
- Orthopaedic Foot and Ankle Surgery Physician
- Herndon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 01011247618
- Practice address
- 13350 Franklin Farm Road
Suite 220
Herndon, VA 20171-4095 - Phone
- (703) 810-5204
- Fax
- (703) 810-5411
- NPI assigned
- May 17, 2008
- Last updated
- Jun 29, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 01011247618 | VA | Primary |
Addresses
Primary practice location
13350 Franklin Farm Road
Suite 220
Herndon, VA 20171-4095
Mailing address
PO Box 75420
Baltimore, MD 21275-5420
Phone (703) 383-6469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Howard University College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13350 Franklin Farm Rd
Suite 220
Herndon, VA 20171-4095
Phone (703) 810-5204
24600 Millstream Dr
Suite 380
Aldie, VA 20105-3509
Phone (703) 810-5241
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01011247618 | VA | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc. | Current | Accepting new patients | |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia Inc | Current | Accepting new patients | |
| Orthovirginia Inc. | Current | Accepting new patients | |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210
13350 Franklin Farm Rd
Ste 220
Herndon, VA 20171
Phone (703) 471-5300
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
1850 Town Center Pkwy
Ste 400
Reston, VA 20190
Phone (703) 234-1000
24600 Millstream Dr
Ste 380
Stone Ridge, VA 20105
Phone (703) 810-5241
8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213
Interoperability endpoints
- klutta6387@direct.orthovirginia.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Multi-Specialty Clinic/Center
- Reston, VA
- NPI 1679596647
-
dba West End Orthopaedic Clinic, Inc
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
dba Reston Hospital Center
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1902063092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75420",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212755420",
"telephone_number": "703-383-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13350 FRANKLIN FARM ROAD",
"address_2": "SUITE 220",
"city": "HERNDON",
"state": "VA",
"postal_code": "201714095",
"telephone_number": "703-810-5204",
"fax_number": "703-810-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTA",
"first_name": "KEVIN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-17",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "VA",
"license": "01011247618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.