Hiwot B Desta
COLON, STOMACH AND LIVER CENTER, LLC


Address: 19455 Deerfield Ave, Suite 201, Lansdowne, VA 20176-8102
Phone: 7037236322703

Hiwot B Desta (NPI# 1558321091, PAC ID# 4880650464) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.

Physician Overview

Nation Provider ID (NPI) 1558321091
PAC ID by PECOS 4880650464
Professional Enrollment ID I20041206000502
Full Name Hiwot B Desta
Organization Legal Name COLON, STOMACH AND LIVER CENTER, LLC
Address 19455 Deerfield Ave
Suite 201
Lansdowne
VA 20176-8102
Phone Number 7037236322703
Gender F
Credential MD
Medical School UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year 1998
Primary Specialty GASTROENTEROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 4082670666
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490043 INOVA LOUDOUN HOSPITAL

Other Locations

Address Phone Organization
19455 Deerfield Ave, Suite 201, Lansdowne, VA 20176-8102 7037236322703 COLON, STOMACH AND LIVER CENTER, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name COLON, STOMACH AND LIVER CENTER, LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Satinder S Gill Gastroenterology Colon, Stomach and Liver Center, LLC 19455 Deerfield Ave, Suite 201, Lansdowne, VA 20176-8102
Jessica Gandhi Physician Assistant Colon, Stomach and Liver Center, LLC 19455 Deerfield Ave, Suite 201, Lansdowne, VA 20176-8102

Office Location

Street Address 19455 DEERFIELD AVE
SUITE 201
City LANSDOWNE
State VA
Zip 20176-8102

Physicians in the same location

Name Specialty Organization Address
Vikrant Virupannavar Anesthesiology American Anesthesiology of Virginia, PC 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176-8102
Abraham Jeon Diagnostic Radiology Inova Health Care Services 19455 Deerfield Ave, Suite 102, Lansdowne, VA 20176-8102
Jeanette Nargi Certified Registered Nurse Anesthetist (crna) American Anesthesiology of Virginia, PC 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176-8102
Mark J Kapros Anesthesiology American Anesthesiology of Virginia, PC 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176-8102
Neville A Fernando Anesthesiology American Anesthesiology of Virginia, PC 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176-8102
Devang Maheshkumar Shah Anesthesiology American Anesthesiology of Virginia, PC 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176-8102
Younghae L Hyun Park Obstetrics/gynecology Loudoun Medical Group PC 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176-8102
David C Johnson Orthopedic Surgery The National Sports Medicine Institute,pc 19455 Deerfield Ave, Suite 312, Lansdowne, VA 20176-8102
Naila N Rana Neurology 19455 Deerfield Ave, Suite 310, Leesburg, VA 20176-8102
Jennifer M Purdy Nurse Practitioner Pulmonary and Critical Care Associates, P.C. 19455 Deerfield Ave, Suite 206, Leesburg, VA 20176-8102
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Physicians in the same zip code

Name Specialty Organization Address
Kevin A Duke Chiropractic 19465 Deerfield Ave, Suite 108, Lansdowne, VA 20176-1702
Behnam Daghigh Allergy/immunology Allergy Asthma and Sinus Center PC 19465 Deerfield Ave, Suite 101, Leesburg, VA 20176-1702
Elisabeth Miller Qualified Speech Language Pathologist Blue Ridge Speech and Hearing Center of Loudoun County, Inc. 19465 Deerfield Ave, Suite 201, Lansdowne, VA 20176-1703
Ifeoma Anulika Ilo Certified Nurse Midwife (cnm) Specialty Physicians of Northern Virginia LLC 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1703
Nurisha Shavon Jack Certified Nurse Midwife (cnm) Specialty Physicians of Northern Virginia LLC 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1703
Rebekah K Hamley Qualified Speech Language Pathologist Blue Ridge Speech and Hearing Center of Loudoun County, Inc. 19465 Deerfield Ave, Suite 201, Lansdowne, VA 20176-1703
Kelly Wooten-pilson Qualified Audiologist Blue Ridge Speech and Hearing Center of Loudoun County, Inc. 19465 Deerfield Ave, Suite 201, Lansdowne, VA 20176-1703
Sara R Scott Physical Therapy Loudoun Medical Group PC 19465 Deerfield Ave, Suite 208, Leesburg, VA 20176-1703
Ian Wattenmaker Orthopedic Surgery Loudoun Medical Group PC 19465 Deerfield Ave, Suite 207, Leesburg, VA 20176-1703
Emily Frances Rooney Qualified Audiologist Blue Ridge Speech and Hearing Center of Loudoun County, Inc. 19465 Deerfield Ave, Suite 201, Lansdowne, VA 20176-1703
Find all physicians in zip 20176

Competitor

Search similar physicians

City LANSDOWNE
Zip Code 20176
Specialty GASTROENTEROLOGY
City + Specialty LANSDOWNE + GASTROENTEROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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