Individual provider Active NPI

Herman Otto Ira Pfaeffle, MD

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1467080788
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101273014 Issued in VA
Practice address
Office of Attending Physician United States Capitol
Washington, DC 20515-0001
Phone
(202) 225-5421
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X 0101273014 VA
Internal Medicine Physician 207R00000X 0101273014 VA Primary

Addresses

Primary practice location

Office of Attending Physician United States Capitol
Washington, DC 20515-0001

Mailing address

Office of Attending Physician H-166
Washington, DC 20515-0001
Phone (202) 225-5421

Other practice location 1

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2285

Other practice location 2

620 John Paul Jones Cir cle
Portsmouth, VA 23708-0001
Phone (757) 953-5000

Other practice location 3

8901 Rockville Pike
Bethesda, MD 20889-0001
Phone (301) 319-8754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230824001636 VA Practitioner - Internal Medicine 9537522594 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101273014VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Aug 9, 2024 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jul 26, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jul 26, 2023 Accepting new patients

Locations

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1300 E Marshall St
Richmond, VA 23298
Phone (804) 828-3144

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1467080788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OFFICE OF ATTENDING PHYSICIAN H-166",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205150001",
            "telephone_number": "202-225-5421",
            "fax_number": "202-225-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFFICE OF ATTENDING PHYSICIAN UNITED STATES CAPITOL",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205150001",
            "telephone_number": "202-225-5421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 High St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237073236",
            "country_code": "US",
            "telephone_number": "757-398-2285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 John Paul Jones Cir cle",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237080001",
            "country_code": "US",
            "telephone_number": "757-953-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8901 Rockville Pike",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890001",
            "country_code": "US",
            "telephone_number": "301-319-8754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFAEFFLE",
        "first_name": "HERMAN",
        "middle_name": "OTTO IRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "0101273014",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101273014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.