Individual provider Active NPI

Sally R Hayes, M.D.

  • Family Medicine Physician
  • Springfield, VA
National Provider Identifier
1073780342
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101263202 Issued in VA
Practice address
6230 Rolling Rd Ste Iandj
Springfield, VA 22152-2307
Phone
(571) 665-6460
Fax
(571) 565-6561
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101263202 VA Primary
Family Medicine Physician 207Q00000X 01065000A IN

Addresses

Primary practice location

6230 Rolling Rd Ste Iandj
Springfield, VA 22152-2307

Mailing address

6230 Rolling Rd Ste Iandj
Springfield, VA 22152-2307
Phone (571) 665-6460

Other practice location 1

1760 Air Force Pentagon
Rm 4A870
Washington, DC 20330-1760
Phone (703) 697-3255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shayes515618@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180531000324 DC Practitioner - Family Practice 3274765425 Reassigns benefits to 1 organization
I20180614001383 VA Practitioner - Family Practice 3274765425 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065000AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jun 1, 2018 Accepting new patients
Inova Health Care Services CurrentSince Jun 1, 2018 Accepting new patients
Inova Health Care Services Current Accepting new patients

Locations

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

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

6230 Rolling Rd
Ste J
Springfield, VA 22152
Phone (571) 665-6460

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1073780342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 ROLLING RD STE IANDJ",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522307",
            "telephone_number": "571-665-6460",
            "fax_number": "571-565-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 ROLLING RD STE IANDJ",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522307",
            "telephone_number": "571-665-6460",
            "fax_number": "571-565-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 Air Force Pentagon",
            "address_2": "Rm 4A870",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "203301760",
            "country_code": "US",
            "telephone_number": "703-697-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "SALLY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101263202",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01065000A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shayes515618@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6230 Rolling Rd Ste J",
            "city": "Springfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221522326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.