Active NPI
Melinda Sue Hall, MD
- Gynecology Physician
- Vienna, VA
National Provider Identifier
1396858767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 0101035022
- Practice address
- 8300 Old Courthouse Rd
Suite 140B
Vienna, VA 22182-3822 - Phone
- (703) 991-6806
- Fax
- (703) 854-1180
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0101035022 | VA | Primary |
Addresses
Primary practice location
8300 Old Courthouse Rd
Suite 140B
Vienna, VA 22182-3822
Mailing address
8300 Old Courthouse Rd
Suite 140B
Vienna, VA 22182-3822
Phone (703) 226-4012
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2730784 | Other | CIGNA | |
| N036-0001 | Other | DC | CAREFIRST NAT'L CAPITAL A |
| 189115 | Other | VA | ANTHEM |
| 2145117 | Other | MAMSI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 3, 2017 through Mar 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101035022 | VA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Millennium Gynecology P.L.L.C. | Gynecology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2726/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 and National Provider Directory roles.
-
- Gynecology Physician
- Falls Church, VA
- NPI 1467686907
-
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": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1396858767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 OLD COURTHOUSE RD",
"address_2": "SUITE 140B",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823822",
"telephone_number": "703-226-4012",
"fax_number": "703-226-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 OLD COURTHOUSE RD",
"address_2": "SUITE 140B",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823822",
"telephone_number": "703-991-6806",
"fax_number": "703-854-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MELINDA",
"middle_name": "SUE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "VA",
"license": "0101035022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2730784",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST NAT'L CAPITAL A",
"identifier": "N036-0001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "189115",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2145117",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.