Individual provider Active NPI

Agha W Haider, MD PHD

  • Cardiovascular Disease Physician
  • Richmond, VA
National Provider Identifier
1033105408
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101247463 Issued in VA
Practice address
909 Hioaks Rd
Suite E
Richmond, VA 23225-4038
Phone
(804) 269-5112
Fax
(877) 795-7329
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD419248 PA
Cardiovascular Disease Physician 207RC0000X 0101247463 VA Primary

Addresses

Primary practice location

909 Hioaks Rd
Suite E
Richmond, VA 23225-4038

Mailing address

909 Hioaks Rd
Suite E
Richmond, VA 23225-4038
Phone (804) 269-5112

Other identifiers 4

IdentifierTypeStateIssuer
1013280500001MedicaidPA
VAA102350OtherVAMEDICARE
1033105408MedicaidVA
P00863900OtherVAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101008001053 VA Practitioner - Cardiovascular Disease (Cardiology) 7719917046 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

411 W Randolph Rd
Hopewell, VA 23860-2938
Phone (804) 541-1600

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 323-8813

909 Hioaks Rd
Richmond, VA 23225-4038
Phone (804) 269-5112

909 Hioaks Rd
Suite E
Richmond, VA 23225-4073

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC Cardiovascular Disease CurrentSince Jan 19, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 19, 2020 Accepting new patients
Dominion Cardiovascular Specialists LLC Cardiovascular Disease CurrentSince Jan 1, 2014 Accepting new patients
Columbia/HCA John Randolph, Inc. Cardiovascular Disease CurrentSince Apr 24, 2016 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. CurrentSince Jun 20, 2015 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. Current Accepting new patients
HCA Health Services of Virginia, Inc. CurrentSince Jan 13, 2016 Accepting new patients
Retreat Cardiology LLC Cardiovascular Disease Past Accepting new patients
Dominion Heart and Vascular Clinic Past Accepting new patients
Pennsylvania Heart and Vascular Group, P.C. Cardiovascular Disease Past Accepting new patients
Heart Group of Abington LTD. Cardiovascular Disease Past Accepting new patients

Locations

411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624

40 Medical Park Blvd
Ste B
Petersburg, VA 23805
Phone (804) 520-6730

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

909 Hioaks Rd
Ste E
Richmond, VA 23225
Phone (804) 323-3051

7129 Jahnke Rd
Richmond, VA 23225
Phone (804) 269-5112

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

909 Hioaks Rd
Richmond, VA 23225
Phone (804) 269-5112

Interoperability endpoints

  • Direct secure messaging: dominioncardiovascularspecialistsllc.aghawiqhaider@127425.advancedmd-direct.com

Organizations & group practices 11

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 5

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1033105408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HIOAKS RD",
            "address_2": "SUITE E",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254038",
            "telephone_number": "804-269-5112",
            "fax_number": "877-795-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HIOAKS RD",
            "address_2": "SUITE E",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254038",
            "telephone_number": "804-269-5112",
            "fax_number": "877-795-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "AGHA",
        "middle_name": "W",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD419248",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101247463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013280500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VAA102350",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033105408",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00863900",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.