Individual provider Active NPI

Mahadevappa K Hunasikatti, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • Chantilly, VA
National Provider Identifier
1912936170
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
0101058372 Issued in VA
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

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8268-0001OtherDCCAREFIRST BLUESHIELD
285910OtherVAANTHEM
541973937OtherVATAX I.D.
321846OtherVAMAMSI LIFE & HEALTH
110205335OtherVARAIL ROAD MEDICARE
5876931MedicaidVA
54077OtherVAAMERIGROUP
9605223OtherVAGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040220000754 DC Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1658266267 Reassigns benefits to 1 organization
I20060111001129 VA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1658266267
I20110713000301 MD Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 1658266267

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

OrganizationSpecialtyStatusNew patients
Loudoun Hospital Center Past Accepting new patients
Hospitalist Medicine Physicians of Front Royal, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.