Individual provider Active NPI

Mohammad H Alhalabi

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1194427328
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024186609 Issued in VA
Practice address
6701 Peters Creek Rd
Roanoke, VA 24019-4060
Phone
(800) 765-7130
NPI assigned
Mar 21, 2023
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

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 enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230414000685 VA Practitioner - Nurse Practitioner 9335514892 Reassigns benefits to 3 organizations
I20230727000912 DC Practitioner - Nurse Practitioner 9335514892 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024186609VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Breeze Health ND Wellness Psychiatric/Mental Health Current Accepting new patients
Equilibrium for Mental Care Corporation CurrentSince Nov 1, 2023 Accepting new patients
Premier Geriatric Solutions PLLC CurrentSince Apr 10, 2023 Accepting new patients
Psychogeriatric Services LLC CurrentSince Jun 26, 2023 Accepting new patients
Love and Humble Medical Care Psychiatric/Mental Health CurrentSince Mar 1, 2026 Accepting new patients

Locations

6550 Mercantile Dr E
Ste 206
Frederick, MD 21703
Phone (240) 815-5201

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

6408 Grovedale Dr
Ste 203
Alexandria, VA 22310
Phone (240) 815-5201

9844 Lori Rd
Ste 102
Chesterfield, VA 23832
Phone (203) 507-5653

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024186609 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

6701 Peters Creek Rd
Roanoke, VA 24019-4060

Mailing address

6701 Peters Creek Rd
Roanoke, VA 24019-4060
Phone (800) 765-7130

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
NAMedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2023.

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1194427328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194060",
            "telephone_number": "800-765-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194060",
            "telephone_number": "800-765-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHALABI",
        "first_name": "MOHAMMAD",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024186609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.