Individual provider Active NPI

Minh D Ta, M.D.

  • Family Medicine Physician
  • Ashburn, VA
National Provider Identifier
1386930287
Registry record updated Feb 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101257641 Issued in VA
Practice address
21785 Filigree CT Ste 100
Ashburn, VA 20147-6214
Phone
(703) 554-1100
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT199021 PA
Family Medicine Physician 207Q00000X D0078580 MD
Family Medicine Physician 207Q00000X 0101257641 VA Primary

Addresses

Primary practice location

21785 Filigree CT Ste 100
Ashburn, VA 20147-6214

Mailing address

21785 Filigree CT Ste 100
Ashburn, VA 20147-6214
Phone (703) 554-1100

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
I20141212001459 DC Practitioner - Family Practice 7911229315 Reassigns benefits to 2 organizations
I20151105002167 VA Practitioner - Family PracticePractitioner - Hospitalist 7911229315 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0078580MDMDFamily Medicine Physician
MT199021PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince May 2, 2016 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Physician Partners, LLC Family Medicine CurrentSince May 2, 2016 Accepting new patients
Inova Health Care Services CurrentSince May 2, 2016 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

21785 Filigree Ct
Ste 100
Ashburn, VA 20147
Phone (703) 554-1100

21785 Filigree Ct
Ste 203
Ashburn, VA 20147
Phone (703) 554-1100

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

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

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

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Organizations & group practices 6

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455926400000",
    "number": "1386930287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT STE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476214",
            "telephone_number": "703-554-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT STE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476214",
            "telephone_number": "703-554-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "MINH",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2016-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT199021",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0078580",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101257641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.