Individual provider Active NPI

Laurence R O'Halloran, MD

  • Specialist
  • Annandale, VA
National Provider Identifier
1023007044
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101051134 Issued in VA
Practice address
3299 Woodburn Rd
#300
Annandale, VA 22003-1275
Phone
(703) 534-3314
Fax
(703) 698-1334
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101051134 VA Primary

Addresses

Primary practice location

3299 Woodburn Rd
#300
Annandale, VA 22003-1275

Mailing address

3299 Woodburn Rd
#300
Annandale, VA 22003-1275
Phone (703) 534-3314

Other identifiers 1

IdentifierTypeStateIssuer
65-022-11MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081218000545 DC Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 4486552692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Washington University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfax ENT and Facial Plastic Surgery PCGroup PAC ID 3678471885, 5 clinicians

Practice addresses (Care Compare)

8120 Gatehouse Rd
Falls Church, VA 22042-1204
Phone (703) 573-3687

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Fairfax ENT & Facial Plastic Surgery, PC CurrentSince Sep 1, 1998 Accepting new patients
Inova Health Care Services Current Accepting new patients
Fairfax Hearing Center, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3299 Woodburn Rd
Ste 300
Annandale, VA 22003
Phone (703) 208-0783

8120 Gatehouse Rd
Fl Third
Falls Church, VA 22042
Phone (703) 204-2771

8120 Gatehouse Rd
Fl 3
Falls Church, VA 22042
Phone (703) 573-3687

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023007044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD",
            "address_2": "#300",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031275",
            "telephone_number": "703-534-3314",
            "fax_number": "703-698-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD",
            "address_2": "#300",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031275",
            "telephone_number": "703-534-3314",
            "fax_number": "703-698-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HALLORAN",
        "first_name": "LAURENCE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101051134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65-022-11",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.