Organization Active NPI

My Hoa Kaas DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Fairfax, VA
National Provider Identifier
1598712150
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1PD0031143 Issued in VA
Legal business name
MY HOA KAAS DPM PC
Practice address
2826 Old Lee Highway #220
Fairfax, VA 22031-4323
Phone
(703) 205-0770
Fax
(703) 205-0771
NPI assigned
May 28, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. My Hoa Kaas, DPMNPI 1538116710
Title
Owner Physician
Phone
(703) 205-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1PD0031143 VA Primary

Addresses

Primary practice location

2826 Old Lee Highway #220
Fairfax, VA 22031-4323

Mailing address

2826 Old Lee Highway #220
Fairfax, VA 22031-4348
Phone (703) 205-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061019000480 DC Part B Supplier - Clinic/Group Practice 3375549009 Receives reassigned benefits from 3 practitioners
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

2826 Old Lee Hwy
Ste 220
Fairfax, VA 22031
Phone (703) 205-0667

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1598712150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HIGHWAY #220",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314348",
            "telephone_number": "703-205-0770",
            "fax_number": "703-205-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HIGHWAY #220",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "703-205-0770",
            "fax_number": "703-205-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOA KAAS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "KAAS",
        "authorized_official_first_name": "MY HOA",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "703-205-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "1PD0031143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.