Active NPI
Haydeh F Esmaili, MD
- Specialist
- Suffolk, VA
National Provider Identifier
1164438909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 101039180
- Practice address
- 2470 Pruden Blvd
Suffolk, VA 23434 - Phone
- (757) 539-1503
- Fax
- (757) 539-0107
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101039180 | VA | |
| Specialist | 174400000X | 101039180 | VA | Primary |
Addresses
Primary practice location
2470 Pruden Blvd
Suffolk, VA 23434
Mailing address
184 Business Park Drive
Suite 200
Virginia Beach, VA 23462-6533
Phone (757) 466-3336
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080387 | Other | VA | SENTARA |
| 541493432 | Other | VA | MAMSI |
| 541493432 | Other | VA | WORK COMP |
| 541493432 | Other | VA | USHEALTHCARE |
| 038574000 | Other | VA | MAGELLAN BEHAVIORAL |
| 541493432 | Other | VA | CHAMPUS |
| AETNA | Other | VA | 541493432 |
| 099354 | Other | VA | BCBS09 FED |
| 541493432 | Other | VA | COMMERICAL |
| 541493432 | Other | VA | DEPT OF REHABS |
| 541493432 | Other | VA | VHN |
| 54149342 | Other | VA | CIGNA |
| 890539C | Medicaid | NC | |
| 007153619 | Medicaid | VA | |
| 541493432 | Other | NC | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101039180 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Counseling Center, Inc. | Past | Accepting new patients | |
| Eden Counseling Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Norfolk, VA
- NPI 1801906144
-
- Professional Counselor
- Hampton, VA
- NPI 1164451399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1164438909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 BUSINESS PARK DRIVE",
"address_2": "SUITE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626533",
"telephone_number": "757-466-3336",
"fax_number": "757-455-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 PRUDEN BLVD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "23434",
"telephone_number": "757-539-1503",
"fax_number": "757-539-0107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESMAILI",
"first_name": "HAYDEH",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101039180",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "101039180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "080387",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "541493432",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP",
"identifier": "541493432",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHEALTHCARE",
"identifier": "541493432",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL",
"identifier": "038574000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "541493432",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "541493432",
"identifier": "AETNA",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS09 FED",
"identifier": "099354",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERICAL",
"identifier": "541493432",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF REHABS",
"identifier": "541493432",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VHN",
"identifier": "541493432",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "54149342",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890539C",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007153619",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "541493432",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.