Individual provider Active NPI

Kevin Charles Lutta, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Herndon, VA
National Provider Identifier
1902063092
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
01011247618 Issued in VA
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 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
I20101124000407 DC Practitioner - Orthopedic Surgery 5799971164 Reassigns benefits to 1 organization
I20200518000250 VA Practitioner - Orthopedic Surgery 5799971164 Reassigns benefits to 1 organization

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
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

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 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01011247618VAMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc. CurrentSince May 11, 2020 Accepting new patients
Orthovirginia, Inc CurrentSince Jan 1, 2015 Accepting new patients
Orthovirginia Inc Current Accepting new patients
Orthovirginia Inc. Current Accepting new patients
Orthovirginia, Inc CurrentSince Jan 1, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.