DULLES PAIN & FUNCTIONAL MEDICINE – NPI #1518573534
Anesthesiology

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

DULLES PAIN & FUNCTIONAL MEDICINE is an anesthesiologist located in STERLING, VA. NPPES has assigned the NPI number 1518573534 to DULLES PAIN & FUNCTIONAL MEDICINE on September 16, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 6 years ago on Oct 14, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DULLES PAIN & FUNCTIONAL MEDICINE below.

NPI Profile for
DULLES PAIN & FUNCTIONAL MEDICINE

NPI Number
1518573534
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DULLES PAIN & FUNCTIONAL MEDICINE
Primary location
20 PIDGEON HILL DR STE 205
STERLING, VA 20165-6134
Phone: (703) 884-8400 Fax:
1 Other location(s):
1958 Opitz Blvd
Woodbridge, VA 22191-3304
Phone: (703) 494-1111
Mailing address
PO BOX 2521
RESTON, VA 20195-0521
Phone: Fax:
Organization Subpart
No
Authorized Official
ISSAM KHAYATA
OWNER
Phone: (703) 884-8400
Updated
Certification Date
Oct 14, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)
207LC0200X
- Anesthesiology / Critical Care Medicine
207L00000X
- Anesthesiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.