Issam Khayata, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Sterling, Virginia. He graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Inova Health Care Services, Inova Health Care Services, Inova Health Care Services and his current practice location is
20 Pidgeon Hill Dr, Ste 205, Sterling, Virginia. You can reach out to his office (for appointments etc.) via phone at
(508) 334-3271.
Issam Khayata is licensed to practice in Virginia (license number 0101259392) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174576581.
Physician's Profile
| Full Name | Issam Khayata |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 34 Years |
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| Location | 20 Pidgeon Hill Dr, Sterling, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Issam Khayata graduated from medical school in 1992
NPI Data:
- NPI Number: 1174576581
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 11/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133164064
- Enrollment ID: I20190117002531
Medical Identifiers
Medical identifiers for Issam Khayata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174576581 | NPI | - | NPPES |
| 0179043 | Medicaid | MA | |
| 30015831410003 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 0101259392 (Virginia) | Secondary |
| 207L00000X | Anesthesiology | 212629 (Massachusetts) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 0101259392 (Virginia) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 0101259392 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Inova Health Care Services | 2466351093 | 1821 |
| Inova Health Care Services | 2466351093 | 1821 |
| Inova Health Care Services | 2466351093 | 1821 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Issam Khayata allows following entities to bill medicare on his behalf.
| Entity Name | Inova Health Care Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
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| Entity Name | American Anesthesiology of Virginia PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
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| Entity Name | Inova Health Care Services |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1538870191 PECOS PAC ID: 2466351093 Enrollment ID: O20230130001570 |
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| Entity Name | Old Dominion Anesthesia LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902248677 PECOS PAC ID: 8820462765 Enrollment ID: O20230316001226 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Issam Khayata is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Issam Khayata, MD Po Box 2521, Reston, VA 20195-0521 Ph: Not Available | Issam Khayata, MD 20 Pidgeon Hill Dr, Ste 205, Sterling, VA 20165-6134 Ph: (508) 334-3271 |
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