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DR. SYEDA KUTUB O.D.
NPI 1639583107
Optometrist in Arlington, VA

Active since June 12, 2014PECOS EnrolledAccepts Medicare Assignment
1020 S GLEBE RD, ARLINGTON, VA 22204(703) 420-7311(703) 920-2030 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2020, Jun 27, 2016 (2 updates tracked since 2016).

About Dr. Syeda Kutub O.d. NPPES

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

DR. SYEDA KUTUB O.D. (NPI 1639583107) is an individual optometrist in Arlington, Virginia, licensed in Virginia (0618002340) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2014).

NPPES Registry Identity

NPI1639583107
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SYEDA KUTUBCredential: O.D.
Location Address1020 S GLEBE RDArlington, VA 22204
Mailing Address1020 S Glebe RdArlington, VA 22204 · (703) 420-7311 · Fax (703) 920-2030
Phone(703) 420-7311
Fax(703) 920-2030
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2014
Enumeration DateJune 12, 2014
Last NPPES UpdateJuly 21, 20202 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
✔ NPI 1639583107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0618002340
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1020 S GLEBE RD, Arlington, VA 22204
Open in Google Maps ↗

Other Identifiers 1

Medicaid1639583107VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Syeda Kutub O.d. 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 ID5698098499
PECOS Enrollment IDI20141231001876
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Syeda Kutub reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Syeda Kutub, PC
3.8 mi
Optometrist
5901 DUKE ST
Alexandria, VA 22304
  • Reassigned Medicare billing, District of Columbia enrollment
NPI 1902284862 (703) 914-2144
Iris Eyecare PC
5.5 mi
Optometrist
7004 LITTLE RIVER TPKE # 2A
Annandale, VA 22003
  • Reassigned Medicare billing, District of Columbia enrollment
NPI 1891655155 (703) 420-7311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
61 services29 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
45 services32 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
39 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22204 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
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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

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

STEVEN NGUYEN-ANH PHAN O.D.
Optometrist
1020 S GLEBE RD
ARLINGTON, VA 22204
Arlington County (703) 420-7311

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 Syeda Kutub's NPI number?

The NPI number for Syeda Kutub is 1639583107. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Syeda Kutub located?

Syeda Kutub practices at 1020 S Glebe Rd, Arlington, VA 22204. The listed phone number is (703) 420-7311.

What is Syeda Kutub's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Syeda Kutub enrolled in Medicare?

Yes. Syeda Kutub 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.

Which organizations bill Medicare for Syeda Kutub's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Syeda Kutub reassigns Medicare benefits to 2 organizations: Syeda Kutub, PC (Alexandria, VA) and Iris Eyecare PC (Annandale, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Syeda Kutub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Syeda Kutub accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Syeda Kutub as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Syeda Kutub was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.