| Issam Khayata, MD | |
|
20 Pidgeon Hill Dr, Ste 205, Sterling, VA 20165-6134 | |
| (508) 334-3271 | |
| (508) 856-5911 |
| Full Name | Issam Khayata |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 34 Years |
| Location | 20 Pidgeon Hill Dr, Sterling, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174576581 | NPI | - | NPPES |
| 0179043 | Medicaid | MA | |
| 30015831410003 | Medicaid | VA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Inova Loudoun Hospital | Leesburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Health Care Services | 2466351093 | 1588 |
| Inova Health Care Services | 2466351093 | 1588 |
| Inova Health Care Services | 2466351093 | 1588 |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20031120000429 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1538870191 PECOS PAC ID: 2466351093 Enrollment ID: O20230206002835 |
| Entity Name | Old Dominion Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902248677 PECOS PAC ID: 8820462765 Enrollment ID: O20240227002876 |
| Mailing Address | Practice Location Address |
|---|---|
| Issam Khayata, MD Po Box 2521, Reston, VA 20195-0521 Ph: () - | Issam Khayata, MD 20 Pidgeon Hill Dr, Ste 205, Sterling, VA 20165-6134 Ph: (508) 334-3271 |
Dr. Gaurav Bhatia, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 46090 Lake Center Plaza, Suite 102, Sterling, VA 20165 Phone: 703-719-8583 Fax: 703-719-4935 |