DR. KEVIN CHARLES LUTTA M.D. NPI 1902063092

NPI Information

  • NPI: 1902063092
  • Provider Name: DR. KEVIN CHARLES LUTTA, M.D.
  • Classification: Orthopaedic Surgery - 207XX0004X
  • Specialization: Foot and Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13350 FRANKLIN FARM ROAD
    SUITE 220
    HERNDON, VA
    ZIP 20171
  • Phone: (703) 810-5204

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NPI Details

DR. Kevin Charles Lutta, M.D. is a foot and ankle surgery orthopaedic surgery in Herndon, VA with 22 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. DR. Kevin Charles Lutta, M.D. NPI is 1902063092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2004

The provider's business location address is:

13350 FRANKLIN FARM ROAD
SUITE 220
HERNDON, VA
ZIP 20171-095
Phone: (703) 810-5204
Fax: (703) 810-5411

The NPI 1902063092 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 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.

  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • X-ray of heel, minimum of 2 views (HCPCS:73650)
  • Other procedure on skin, mucous membrane, and tissue (HCPCS:17999)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 5/17/2008 and was last updated on 6/29/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery01011247618VIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1538695MEDICARE PIN

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: 11/21/2025

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