Individual provider Active NPI

Ivan F Harangozo, MD

  • Anesthesiology Physician
  • Manassas, VA
National Provider Identifier
1366551905
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101046975 Issued in VA
Practice address
8700 Sudley Rd
Manassas, VA 20110-4418
Phone
(703) 392-6199
NPI assigned
Aug 29, 2006
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101046975 VA Primary

Addresses

Primary practice location

8700 Sudley Rd
Manassas, VA 20110-4418

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464

Other identifiers 1

IdentifierTypeStateIssuer
005704430MedicaidVA

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
I20090204000642 VA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 7113081209 Reassigns benefits to 6 organizations
I20250307000617 DC Practitioner - Anesthesiology 7113081209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

1305 Walt Whitman Rd
Suite 300
Melville, NY 11747-4300

1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone (757) 585-2200

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000

501 Sunset LN
Culpeper, VA 22701-3917
Phone (703) 396-5293

7519 Hospital Dr
Gloucester, VA 23061-4178
Phone (804) 693-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101046975VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Jun 30, 2015 Accepting new patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Jun 30, 2015 Accepting new patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Sep 26, 2024 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jun 22, 2021 Accepting new patients
Ambulatory Anesthesia Associates LLC Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
BTR Anesthesia, Corp Anesthesiology CurrentSince Jan 29, 2025 Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients
Manassas Anesthesia Associates PC Past Accepting new patients

Locations

40 York Rd
Ste 110
Towson, MD 21204
Phone (410) 296-0680

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6800

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

8320 Old Courthouse Rd
Ste 401
Vienna, VA 22182
Phone (571) 999-7973

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • Direct secure messaging: iharangozo234826@direct.rivhs.com

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1366551905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104418",
            "telephone_number": "703-392-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARANGOZO",
        "first_name": "IVAN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101046975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005704430",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.