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DR. CISSY PAUL POTTANAT MD MPH NPI 1295802718


NPI Information

NPI: 1295802718
Provider Name: DR. CISSY PAUL POTTANAT, MD MPH
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 49D0222254

Address:
6319 CASTLE PLACE
SUITE 3D
FALLS CHURCH, VA
ZIP 22044
Phone: (703) 532-1111
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DR. Cissy Paul Pottanat, MD MPH is a family medicine in Falls Church, VA with 35 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Cissy Paul Pottanat, MD MPH NPI is 1295802718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6319 CASTLE PLACE
SUITE 3D
FALLS CHURCH, VA
ZIP 22044-907
Phone: (703) 532-1111
Fax: (703) 532-3224

The NPI 1295802718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 49D0222254 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

The enumeration date for this NPI number is 11/29/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0101052635VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1287222OTHERANTHEM
25628997MEDICAIDVIRGINIA
349D02222254OTHERCLIA#
4F383001OTHERCALLFIRST
500A818C81MEDICARE ID-TYPE UNSPECIFIED
6G15190MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.