Individual provider Active NPI

Josefina Cabahug Heyrana, M.D.

  • Family Medicine Physician
  • Alexandria, VA
National Provider Identifier
1396747812
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101051218 Issued in VA
Practice address
7906 Andrus Rd
Suite 8
Alexandria, VA 22306-3168
Phone
(703) 780-7034
Fax
(703) 780-1379
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101051218 VA Primary

Addresses

Primary practice location

7906 Andrus Rd
Suite 8
Alexandria, VA 22306-3168

Mailing address

7914 Willfield CT
Fairfax Station, VA 22039-3180
Phone (703) 643-2875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000601 DC Practitioner - Family Practice 5294839726

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101051218VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8483/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1396747812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 WILLFIELD CT",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220393180",
            "telephone_number": "703-643-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7906 ANDRUS RD",
            "address_2": "SUITE 8",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063168",
            "telephone_number": "703-780-7034",
            "fax_number": "703-780-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYRANA",
        "first_name": "JOSEFINA",
        "middle_name": "CABAHUG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101051218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.