Organization Active NPI

David S Haden MD PC

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1063722510
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DAVID S HADEN MD PC
Practice address
5505 Indian River Rd Ste 101
Virginia Beach, VA 23464-5252
Phone
(757) 420-9573
Fax
(757) 420-5649
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
David Haden, M.D.NPI 1316989718
Title
President
Phone
(757) 420-9573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5505 Indian River Rd Ste 101
Virginia Beach, VA 23464-5252

Mailing address

5505 Indian River Rd Ste 101
Virginia Beach, VA 23464-5252
Phone (757) 420-9573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110125000821 VA Part B Supplier - Clinic/Group Practice 1355520198 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0919883David S Haden MD PC5505 Indian River Road-Suites 101/102, Virginia Beach, VA 23464Provider-performed microscopySep 17, 2026

National Provider Directory

National Provider Directory

Locations

5505 Indian River Rd
Virginia Beach, VA 23464
Phone (757) 289-1125

5505 Indian River Rd
Ste 101
Virginia Beach, VA 23464
Phone (757) 420-9573

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1063722510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 INDIAN RIVER RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645252",
            "telephone_number": "757-420-9573",
            "fax_number": "757-420-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 INDIAN RIVER RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645252",
            "telephone_number": "757-420-9573",
            "fax_number": "757-420-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S HADEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "HADEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-420-9573",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.