Individual provider Active NPI

Martin J O Hara, MD

  • Cardiovascular Disease Physician
  • Arlington, VA
National Provider Identifier
1336162262
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101049608 Issued in VA
Practice address
1715 N George Mason Drive
Suite 107
Arlington, VA 22205
Phone
(703) 527-1400
Fax
(703) 525-0043
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101049608 VA Primary

Addresses

Primary practice location

1715 N George Mason Drive
Suite 107
Arlington, VA 22205

Mailing address

611 S Carlin Springs Rd
Ste 409
Arlington, VA 22204-1087
Phone (703) 527-1400

Other identifiers 2

IdentifierTypeStateIssuer
5878209MedicaidVA
2630085OtherECFMG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081002000136 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8820166903
I20141111002205 VA Practitioner - Internal Medicine 8820166903 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Northern VA Inc Cardiovascular Disease Past Accepting new patients
Pediatrix Medical Group of the Mid-Atlantic PC PastSince Mar 31, 2024 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1336162262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD",
            "address_2": "STE 409",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041087",
            "telephone_number": "703-527-1400",
            "fax_number": "703-525-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DRIVE",
            "address_2": "SUITE 107",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22205",
            "telephone_number": "703-527-1400",
            "fax_number": "703-525-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O HARA",
        "first_name": "MARTIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101049608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5878209",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "2630085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.