Hong Hanh T Chau, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Lansdowne, VA

NPI 1164590519 · NPPES record last updated Nov 22, 2021

Key facts

NPI
1164590519
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
0101055894 (VA)
Practice address
19450 Deerfield Ave Ste 300
Loudoun Medical Center
Lansdowne, VA 20176-6821
Phone
(703) 726-2100
Fax
(703) 726-4550
NPI assigned
Dec 2, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100727000438 VA Practitioner - Obstetrics/Gynecology 7416944384 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Obstetrics & Gynecology Current
since May 6, 2010
Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current
since May 6, 2010
Accepting new patients

Locations

2101 E Jefferson St
Unit 6W
Rockville, MD 20852

2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

43480 Yukon Dr
Ste 100
Ashburn, VA 20147
Phone (571) 252-6000

19450 Deerfield Ave
Ste 300
Leesburg, VA 20176
Phone (703) 723-6774

1890 Metro Center Dr
Reston, VA 20190
Phone (703) 709-1500

14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101055894 VA Yes

Addresses

Primary practice location

19450 Deerfield Ave Ste 300
Loudoun Medical Center
Lansdowne, VA 20176-6821

Mailing address

2101 East Jefferson Street
Ppqa Medicare Compliance Unit 6W Attn Theresa Brooks
Rockville, MD 20852-4908
Phone (301) 816-6660

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Other providers in Lansdowne, VA

All providers in Lansdowne, VA · Obstetrics & Gynecology Physician in Virginia

Sources for this page

Verify at the official NPI Registry.