Individual provider Active NPI

Gita Haddadi, MD

  • Pediatrics Physician
  • Winchester, VA
National Provider Identifier
1083703169
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101240183 Issued in VA
Practice address
337 Westside Station Dr
Winchester, VA 22601-2840
Phone
(540) 667-5400
Fax
(540) 722-9516
NPI assigned
Oct 12, 2006
Last updated
Apr 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101240183 VA Primary

Addresses

Primary practice location

337 Westside Station Dr
Winchester, VA 22601-2840

Mailing address

337 Westside Station Dr
Winchester, VA 22601-2840
Phone (540) 667-5400

Other identifiers 4

IdentifierTypeStateIssuer
7518890OtherVAAETNA
1083703169MedicaidVA
249345OtherVAANTHEM
001909888OtherWVMOUNTAIN STATE BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wvva Health Care Alliance, PC Pediatrics Past Accepting new patients
Womens & Childrens Center LLC Past Accepting new patients
Prasad Rekulapelli MD PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBAIBA/Endpoint/EBAIBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1083703169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 WESTSIDE STATION DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012840",
            "telephone_number": "540-667-5400",
            "fax_number": "540-722-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 WESTSIDE STATION DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012840",
            "telephone_number": "540-667-5400",
            "fax_number": "540-722-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDADI",
        "first_name": "GITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101240183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7518890",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083703169",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "249345",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001909888",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.