Individual provider Active NPI

Hemet Kherbache, M.D.

  • Nuclear Imaging & Therapy Physician
  • Annandale, VA
National Provider Identifier
1578731808
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
0101281744 Issued in VA
Practice address
3289 Woodburn Rd Ste 60
Annandale, VA 22003-7337
Phone
(703) 698-0666
Fax
(703) 698-5935
NPI assigned
Feb 20, 2008
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 0101281744 VA Primary

Addresses

Primary practice location

3289 Woodburn Rd Ste 60
Annandale, VA 22003-7337

Mailing address

3289 Woodburn Rd Ste 60
Annandale, VA 22003-7337
Phone (703) 698-0666

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
I20240621003596 DC Practitioner - Nuclear Medicine 3870566524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
University of Southern California Keck School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodburn Nuclear Medicine, LTDGroup PAC ID 9537294533, 7 clinicians

Practice addresses (Care Compare)

3289 Woodburn Rd
Suite 60
Annandale, VA 22003-7337
Phone (703) 698-0666

Merit-based Incentive Payment System (MIPS)

Final score
72.5 of 100Reported as group
Quality
45
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101281744VAMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodburn Nuclear Medicine, LTD CurrentSince Jun 13, 2024 Accepting new patients

Locations

3289 Woodburn Rd
Ste 60
Annandale, VA 22003
Phone (703) 698-0666

Organizations & group practices 1

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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1578731808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD STE 60",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037337",
            "telephone_number": "703-698-0666",
            "fax_number": "703-698-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD STE 60",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037337",
            "telephone_number": "703-698-0666",
            "fax_number": "703-698-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHERBACHE",
        "first_name": "HEMET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "VA",
            "license": "0101281744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.