Individual provider Active NPI

Michael Albert Hattwick, MD

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1356496988
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101028343 Issued in VA
Practice address
8301 Arlington Blvd
Suite 405
Fairfax, VA 22031-2902
Phone
(703) 698-9000
Fax
(703) 876-8911
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101028343 VA Primary

Addresses

Primary practice location

8301 Arlington Blvd
Suite 405
Fairfax, VA 22031-2902

Mailing address

8301 Arlington Blvd
Suite 405
Fairfax, VA 22031-2902
Phone (703) 698-9000

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110126000136 VA Practitioner - Internal MedicinePractitioner - Preventive Medicine 2668576612 Reassigns benefits to 2 organizations
I20110623000674 DC Practitioner - Internal MedicinePractitioner - Preventive Medicine 2668576612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
Baylor College of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7732 Donegan Dr
Manassas, VA 20109-2868
Phone (571) 459-2960

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Healthcare, P.C Internal Medicine CurrentSince May 11, 2021 Accepting new patients
Inova Health Care Services Internal Medicine Current Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Fairfax Family Practice Centers, P.C Internal Medicine PastSince Oct 1, 2006 Accepting new patients

Locations

8501 Arlington Blvd
#S310
Fairfax, VA 22031
Phone (703) 698-9000

2900 Telestar Ct
Falls Church, VA 22042
Phone (703) 538-2065

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

7732 Donegan Dr
Manassas, VA 20109
Phone (571) 459-2960

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEGCD/Endpoint/IDEGCD
  • Direct secure messaging: michael.hattwick.1@23639.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1356496988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD",
            "address_2": "SUITE 405",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312902",
            "telephone_number": "703-698-9000",
            "fax_number": "703-876-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD",
            "address_2": "SUITE 405",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312902",
            "telephone_number": "703-698-9000",
            "fax_number": "703-876-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTWICK",
        "first_name": "MICHAEL",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101028343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.