Annette Marie Hudler, DO
Individual provider Active NPI Internal Medicine Physician · Purcellville, VA
NPI 1487699161 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1487699161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0102050189 (VA)
- Practice address
- 205 E. Hirst Road, Suite 203
Purcellville, VA 20132-6600 - Phone
- (540) 751-0255
- Fax
- (540) 751-0466
- NPI assigned
- Jun 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Loudoun Medical Group, PC
Practice addresses (Care Compare)
205 Hirst Rd
Purcellville, VA 20132-6602
20955 Professional PLZ
Suite 200
Ashburn, VA 20147-3405
Phone (703) 729-7652
Hospital & facility affiliations
- Horizons Healthcare Services LLC
- Inova Home Health LLC
- Inova Loudoun Hospital
- Jefferson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.65 of 100
- Quality
- 85.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050629000544 | VA | Practitioner - Internal Medicine | 3678519766 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Medical Group, PC | Internal Medicine | Current |
Accepting new patients |
| Loudoun Medical Group, PC | Current |
Accepting new patients | |
| Mountain View Medical Associates LLC | Internal Medicine | Past |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Nova Medical and Urgent Care Center, Inc. | Internal Medicine | Past | Accepting new patients |
| Mountain View Medical Associates LLC | Internal Medicine | Past | Accepting new patients |
Locations
6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700
21785 Filigree Ct
Ste 203
Ashburn, VA 20147
Phone (703) 554-1100
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
21785 Filigree Ct
Ste 100
Ashburn, VA 20147
Phone (703) 554-1100
44055 Riverside Pkwy
#20811302
Leesburg, VA 20176
Phone (703) 729-7652
51 Catoctin Cir NE
Leesburg, VA 20176
Phone (703) 777-9510
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
205 Hirst Rd
Ste 203
Purcellville, VA 20132
Phone (540) 751-0255
205 Hirst Rd
Ste 201
Purcellville, VA 20132
Phone (540) 751-4455
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
Interoperability endpoints
- annette.hudler@lmg1.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102050189 | VA | Yes |
Addresses
Primary practice location
205 E. Hirst Road, Suite 203
Purcellville, VA 20132-6600
Mailing address
224 D Cornwall Street NW
Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487699161 | Medicaid | VA | |
| 30015898370001 | Medicaid | VA |
Other names
- Annette Marie Antolik
Other providers in Purcellville, VA
- Steve Heo
- Deepani Hettitantri
- William Hight
- Jim Wonkap Hong
- Scott J Hopson
- Hunt Country Counseling Services PLLC
- Judy Faye Hunter
- Irfan Idrees
- Tatsiana Isayenka
- Gianna Islam
All providers in Purcellville, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.