Active NPI
Mahadevappa K Hunasikatti, M.D
- Critical Care Medicine (Internal Medicine) Physician
- Chantilly, VA
National Provider Identifier
1912936170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 0101058372
- Practice address
- 14163 Robert Paris CT Ste B
Chantilly, VA 20151-4241 - Phone
- (703) 817-2641
- Fax
- (310) 602-6593
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0101058372 | VA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101058372 | VA | Primary |
Addresses
Primary practice location
14163 Robert Paris CT Ste B
Chantilly, VA 20151-4241
Mailing address
13256 Middleton Farm LN
Oak Hill, VA 20171-3849
Phone (703) 573-9212
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8268-0001 | Other | DC | CAREFIRST BLUESHIELD |
| 285910 | Other | VA | ANTHEM |
| 541973937 | Other | VA | TAX I.D. |
| 321846 | Other | VA | MAMSI LIFE & HEALTH |
| 110205335 | Other | VA | RAIL ROAD MEDICARE |
| 5876931 | Medicaid | VA | |
| 54077 | Other | VA | AMERIGROUP |
| 9605223 | Other | VA | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13873 Park Ctr Rd
Suite 150
Herndon, VA 20171-3248
Phone (703) 492-0897
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Hospital Center | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Front Royal, LLC | Past | Accepting new patients |
Interoperability endpoints
- mahadevappa.hunasikatti.1@33053.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1376850057
-
- Hospitalist Physician
- Leesburg, VA
- NPI 1871775999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1912936170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13256 MIDDLETON FARM LN",
"city": "OAK HILL",
"state": "VA",
"postal_code": "201713849",
"telephone_number": "703-573-9212",
"fax_number": "703-573-9219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14163 ROBERT PARIS CT STE B",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201514241",
"telephone_number": "703-817-2641",
"fax_number": "310-602-6593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNASIKATTI",
"first_name": "MAHADEVAPPA",
"middle_name": "K",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101058372",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "VA",
"license": "0101058372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUESHIELD",
"identifier": "8268-0001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "285910",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX I.D.",
"identifier": "541973937",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI LIFE & HEALTH",
"identifier": "321846",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "110205335",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5876931",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "54077",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9605223",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.