MRS. CRYSTAL L KITTISOPIKUL PA-C
NPI 1508107657
Physician Assistant - Medical in Leesburg, VA
About Mrs. Crystal L Kittisopikul Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CRYSTAL L KITTISOPIKUL PA-C (NPI 1508107657) is an individual medical provider in Leesburg, Virginia, licensed in Virginia (0110007265) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Crystal L Kittisopikul Pa-c 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Loudoun Hospital
Acute Care Hospitals · Leesburg, VAReston Hospital Center
Acute Care Hospitals · Reston, VAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANSDOWNE, VA 20176
LANSDOWNE, VA 20176
LANSDOWNE, VA 20176
LANSDOWNE, VA 20176
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 Crystal Kittisopikul's NPI number?
The NPI number for Crystal Kittisopikul is 1508107657. It was assigned to this individual provider in the NPPES registry on March 13, 2013.
Where is Crystal Kittisopikul located?
Crystal Kittisopikul practices at 19455 Deerfield Ave Suite 206, Leesburg, VA 20176. The listed phone number is (703) 858-9608.
What is Crystal Kittisopikul's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Crystal Kittisopikul enrolled in Medicare?
Yes. Crystal Kittisopikul 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.
Is Crystal Kittisopikul affiliated with any hospitals?
According to CMS data, Crystal Kittisopikul is affiliated with Inova Loudoun Hospital and Reston Hospital Center.
When was this NPI record last updated?
The NPPES record for Crystal Kittisopikul was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Mrs. Crystal L Kittisopikul, PA-C · NPI 1508107657
Medical physician in Leesburg, Virginia. Individual provider, active in the CMS NPPES registry since March 13, 2013.
## Identity
- **NPI:** 1508107657 (Entity type: Individual)
- **Enumerated:** March 13, 2013
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 0110007265 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 19455 DEERFIELD AVE, SUITE 206, Leesburg, VA 20176
- **Phone:** (703) 858-9608 · **Fax:** (703) 858-9618
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508107657) · Data from the CMS NPPES public registry.