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LISHAN KASSA MD
NPI 1255534301
Internal Medicine in Chantilly, VA

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment
4213 WALNEY RD, CHANTILLY, VA 20151(703) 502-7000 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lishan Kassa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISHAN KASSA MD (NPI 1255534301) is an individual internal medicine provider in Chantilly, Virginia, licensed in Virginia (0101058868) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1255534301
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISHAN KASSACredential: MD
Location Address4213 WALNEY RDChantilly, VA 20151-2923
Mailing Address4213 Walney RdChantilly, VA 20151-2923 · (703) 502-7000
Phone(703) 502-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJune 7, 2007
Last NPPES UpdateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
✔ NPI 1255534301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101058868
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4213 WALNEY RD, Chantilly, VA 20151
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lishan Kassa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284084856
PECOS Enrollment IDI20231221003483
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20151 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. XIN WANG NP
Nurse Practitioner (Adult Health)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 383-8500
KARLA MAYANDY CAMPOS-HUNT LPC, CSAC
Counselor (Professional)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7060
LISA TAYLOR LCSW, CSAC
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7016
MRS. KATHLEEN ANNE CAMPENNI R.N.
Registered Nurse
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000
FAIRFAX FALLS CHURCH COMMUNITY SERVICE BOARD
Substance Abuse Rehabilitation Facility
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000
HOLLY JO-ANN BURLEY LCSW
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7009
JOHN DAVID HUDSON III
Student in an Organized Health Care Education/Training Program
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000
MAX-ANDRE ISIDORE LCSW
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lishan Kassa's NPI number?

The NPI number for Lishan Kassa is 1255534301. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Lishan Kassa located?

Lishan Kassa practices at 4213 Walney Rd, Chantilly, VA 20151. The listed phone number is (703) 502-7000.

What is Lishan Kassa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lishan Kassa enrolled in Medicare?

Yes. Lishan Kassa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lishan Kassa was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.