Individual provider Active NPI

James Huang, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Stafford, VA
National Provider Identifier
1265687305
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
0101254867 Issued in VA
Practice address
450 Garrisonville Rd
109
Stafford, VA 22554
Phone
(703) 522-2727
Fax
(540) 288-3327
NPI assigned
Nov 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X D0076572 MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0101254867 VA Primary

Addresses

Primary practice location

450 Garrisonville Rd
109
Stafford, VA 22554

Mailing address

450 Garrisonville Rd
109
Stafford, VA 22554
Phone (703) 522-2727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160801000939 IL Practitioner - Physical Medicine and Rehabilitation 3678707114 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0076572MDMDPain Medicine (Physical Medicine & Rehabilitation) Physician
0101254867VAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2016 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2016 Accepting new patients
Advanced Spine and Pain PLLC Past Accepting new patients

Locations

800 W Oakton St
Arlington Hts, IL 60004
Phone (847) 253-3710

165 S Bloomingdale Rd
Bloomingdale, IL 60108
Phone (630) 980-2001

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1265687305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GARRISONVILLE RD",
            "address_2": "109",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "703-522-2727",
            "fax_number": "540-288-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GARRISONVILLE RD",
            "address_2": "109",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "703-522-2727",
            "fax_number": "540-288-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-17",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D0076572",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101254867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.