SANITA PIYA
NPI 1891239067
Nurse Practitioner - Family in Fredericksburg, VA

Active since December 07, 2016PECOS EnrolledAccepts Medicare Assignment
2601 FALL HILL AVE, FREDERICKSBURG, VA 22401(540) 371-9696 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sanita Piya NPPES

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

SANITA PIYA (NPI 1891239067) is an individual family provider in Fredericksburg, Virginia, licensed in Virginia (0024174164) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1891239067
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANITA PIYA
Location Address2601 FALL HILL AVEFredericksburg, VA 22401-3323
Mailing Address114 Blackgum CtStafford, VA 22554-2544 · (518) 542-5311
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 7, 2016
NPI 1891239067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024174164
2601 FALL HILL AVE, Fredericksburg, VA 22401

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

Sanita Piya 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 ID5294018651
PECOS Enrollment IDI20170208002326
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.

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 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.
395 services331 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
196 services196 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
42 services31 patients
Measurement of liver stiffness 91200
Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 5

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

Internal Medicine (Gastroenterology)
2601 FALL HILL AVE
FREDERICKSBURG, VA 22401
Internal Medicine (Gastroenterology)
2601 FALL HILL AVE
FREDERICKSBURG, VA 22401
Physician Assistant (Medical)
2601 FALL HILL AVE
FREDERICKSBURG, VA 22401
Internal Medicine (Gastroenterology)
2601 FALL HILL AVE
FREDERICKSBURG, VA 22401
Internal Medicine (Gastroenterology)
2601 FALL HILL AVE
FREDERICKSBURG, VA 22401

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 Sanita Piya's NPI number?

The NPI number for Sanita Piya is 1891239067. It was assigned to this individual provider in the NPPES registry on December 7, 2016.

Where is Sanita Piya located?

Sanita Piya practices at 2601 Fall Hill Ave, Fredericksburg, VA 22401. The listed phone number is (540) 371-9696.

What is Sanita Piya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sanita Piya enrolled in Medicare?

Yes. Sanita Piya 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 Sanita Piya affiliated with any hospitals?

According to CMS data, Sanita Piya is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Sanita Piya was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.