Individual provider Active NPI

Nasser A Sitta, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Warrenton, VA
National Provider Identifier
1992719843
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
0101049309 Issued in VA
Practice address
500 Hospital Dr
Warrenton, VA 20186-3027
Phone
(540) 349-0595
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0101049309 VA Primary

Addresses

Primary practice location

500 Hospital Dr
Warrenton, VA 20186-3027

Mailing address

PO Box 223323
Chantilly, VA 20153-3323
Phone (540) 349-0595

Other identifiers 2

IdentifierTypeStateIssuer
010064660MedicaidVA
006020551MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000133 DC Practitioner - Internal MedicinePractitioner - Emergency Medicine 6305839028 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med-Ped Health Care LLCGroup PAC ID 0941108237, 6 clinicians
Express Healthcare, LLCGroup PAC ID 2860660743, 4 clinicians

Practice addresses (Care Compare)

4701 Melbourne PL
College Park, MD 20740-2540
Phone (301) 345-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101049309VAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Express Healthcare, LLC CurrentSince Apr 15, 2024 Accepting new patients
Med-Ped Health Care LLC CurrentSince Apr 15, 2024 Accepting new patients
Express Healthcare, LLC PastSince Apr 15, 2024 Accepting new patients

Locations

6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400

6201 Greenbelt Rd
Ste M15
Berwyn Heights, MD 20740
Phone (301) 441-1112

4701 Melbourne Pl
College Park, MD 20740
Phone (301) 345-4400

Interoperability endpoints

  • Direct secure messaging: nasser.sitta.1@19581.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1992719843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223323",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201533323",
            "telephone_number": "540-349-0595",
            "fax_number": "540-349-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863027",
            "telephone_number": "540-349-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITTA",
        "first_name": "NASSER",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0101049309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010064660",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006020551",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.