Hailegiorgis T. Bizuneh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024181571 Issued in VA

Practice address

11551 Nuckols Rd Ste P
Glen Allen, VA 23059-5565

Phone

(804) 593-5935

Fax

(804) 593-5977

NPI assigned

Jul 3, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bright Integrative CareGroup PAC ID 1759730583, 2 clinicians

Insight Physicians PCGroup PAC ID 2860394178, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours Richmond Community Hospital Hospital, Richmond, VA, CCN 490094
• Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: haile2052gmail.com@cfimhkd-va.direct.office.nextgen.com

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.

• Bright Integrative Care

  • Psychiatry Physician
  • Glen Allen, VA
  • NPI 1871373530
  Medicare reassignment Care Compare group NPD
• Insight Physicians PC

  • Psychiatry Physician
  • Richmond, VA
  • NPI 1801817150
  Medicare reassignment Care Compare group NPD
• Center for Internal Medicine Hyper Kidney Disease & Critical Care Inc

  • Primary Care Nurse Practitioner
  • Richmond, VA
  • NPI 1538348388
  Medicare reassignment NPD
• Virginia South Psychiatric & Family Services

  • Psychiatry Physician
  • Petersburg, VA
  • NPI 1700894466
  Medicare reassignment NPD
• Commonwealth Psychiatry & Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Chesterfield, VA
  • NPI 1891623914
  NPD Authorized official
• Psych Associates of Maryland LLC

  • Psychologist
  • Timonium, MD
  • NPI 1891721981

  DC, VA

  Medicare reassignment
• Three Rivers Treatment Center LLC

  • Psychiatric Residential Treatment Facility
  • Kenbridge, VA
  • NPI 1568827780
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours St Mary'S Hospital of Richmond LLC

  • Clinical Medical Laboratory
  • Richmond, VA
  • NPI 1588129480

  Hospital

  Care Compare affiliation
• Bon Secours St. Mary'S Hospital of Richmond LLC

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1962464016
  Care Compare affiliation
• Bon Secours-Richmond Community Hospital LLC

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1366404428
  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Mechanicsville, VA
  • NPI 1457687543

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Midlothian, VA
  • NPI 1548596638

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Cardiac Rehabilitation Clinic/Center
  • Richmond, VA
  • NPI 1902132095

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Richmond, VA
  • NPI 1992031348

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1417528225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD STE P",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595565",
            "telephone_number": "804-593-5935",
            "fax_number": "804-593-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD STE P",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595565",
            "telephone_number": "804-593-5935",
            "fax_number": "804-593-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZUNEH",
        "first_name": "HAILEGIORGIS",
        "middle_name": "T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-03",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024181571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Donald Bins, D.M.D.
• Biofourmis Care FL PLLC
• Kevin R Birdsell, LCSW
• Kelley Smith Bishop, PHARMD
• Brian C. Bittner, M.D.
• Rodney Blackstock
• Jeanette L Blake, MSW
• Stacey Metheny Blankenship, PHARMD
• Wesley Scott Blankenship, PHARMD
• Adam Blankinship

• Psychiatric/Mental Health Nurse Practitioner in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.