NPIMap

Individual provider Active NPI

Sang Ho NA, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fredericksburg, VA
National Provider Identifier
1255328902
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
0101250747 Issued in VA
Practice address
1101 Sam Perry Blvd
Suite 211
Fredericksburg, VA 22401-4467
Phone
(540) 372-7792
Fax
(504) 372-2073
NPI assigned
Sep 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X D0057593 MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101250747 VA Primary

Addresses

Primary practice location

1101 Sam Perry Blvd
Suite 211
Fredericksburg, VA 22401-4467

Mailing address

PO Box 845
Fredericksburg, VA 22404-0845
Phone (540) 372-7792

Other identifiers 1

IdentifierTypeStateIssuer
687804100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000177 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 4880614916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Thoracic Surgery, Vascular Surgery
Education
University of Maryland School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Practice addresses (Care Compare)

1101 Sam Perry Blvd
Suite 211
Fredericksburg, VA 22401-4465
Phone (540) 372-7792

Hospital & facility affiliations

  • Mary Washington Home Health Agency Home health agency, Fredericksburg, VA, CCN 497272
  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057593MDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101250747VAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince May 15, 2013 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince May 15, 2013 Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients
Midatlantic Cardiovascular Associates PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1101 Sam Perry Blvd
Ste 318
Fredericksburg, VA 22401
Phone (540) 372-7792

1101 Sam Perry Blvd
Ste 211
Fredericksburg, VA 22401
Phone (540) 372-7792

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: sna12110@marywashingtonhealthcare.direct-ci.com

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1255328902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224040845",
            "telephone_number": "540-372-7792",
            "fax_number": "540-372-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 211",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-372-7792",
            "fax_number": "504-372-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NA",
        "first_name": "SANG HO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D0057593",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101250747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687804100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.