Active NPI
Minh D Ta, M.D.
- Family Medicine Physician
- Ashburn, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101257641
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0078580 | MD | MD | Family Medicine Physician |
| MT199021 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Physician Partners, LLC | Family Medicine | Current | Accepting new patients |
| Inova Health Care Services | Current | 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.
-
dba Inova Urgent Care Center
- Urgent Care Clinic/Center
- Vienna, VA
- NPI 1275886418
DC
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.