ISSAM KHAYATA (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1174576581
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
224 PAIN MANAGEMENT in VA
Provider Addresses for ISSAM KHAYATA (MD)
44055 Riverside Pkwy Ste 110
Leesburg, VA 201765155
Phone: (703) 858-6115
Fax: (571) 665-6634
Type: Location
Reston Post Office, 11110, Sunset Hills Road, Pinecrest, Reston Station, Reston, Fairfax County, Virginia, 20195, United States
RESTON, VA 201950521
Phone:
Type: Mailing
20, Pidgeon Hill Drive, Regal Plaza, Countryside, Loudoun County, Virginia, 20165, United States
STE 205
STERLING, VA 201656134
Phone: (508) 334-3271
Fax: (508) 856-5911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $583.
Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($200).
Total Amount
$583
General + Research + Ownership
Payments
32
Total payment records
General Amount
$583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170627000873 | I | Pain Management | DC | TBD |
| I20190117002531 | I | Pain Management | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20176)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MA | 62311 | Injections of substances into lower or sacral spine | 34 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | HI | |
| H E M A T O L O G Y | WA | |
| - | VIR | |
| - | IL | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| General Surgery | CT | |
| - | VA | |
| N E U R O S U R G E R Y | VA |
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