Victor Mihal, D.O.
Individual provider Active NPI Emergency Medicine Physician · South Boston, VA
NPI 1609980895 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1609980895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0102202337 (VA)
- Practice address
- 2204 Wilborn Ave
South Boston, VA 24592-1645 - Phone
- (434) 517-3100
- Fax
- (434) 517-3626
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Halifax Regional Hospital Inc
Practice addresses (Care Compare)
101 Aubreys Loop
South Boston, VA 24592-5054
Phone (434) 517-8627
115 College St
Clarksville, VA 23927-9125
Phone (434) 374-5344
Hospital & facility affiliations
- 1St Care Home Health South Boston
- Sentara Home Care Services (Halifax)
- Sentara Halifax Regional Hospital
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 |
|---|---|---|---|---|
| I20090128000292 | VA | Practitioner - Family Practice |
0840393765 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Regional Hospital, Inc | Current |
Accepting new patients | |
| Halifax Regional Hospital, Inc. | Current |
Accepting new patients |
Locations
101 Aubreys Loop
South Boston, VA 24592
Phone (434) 517-3879
2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100
Interoperability endpoints
- vmihal309424@direct.sentara.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0102202337 | VA | Yes |
Addresses
Primary practice location
2204 Wilborn Ave
South Boston, VA 24592-1645
Mailing address
2204 Wilborn Ave
South Boston, VA 24592-1645
Phone (434) 517-3100
Other practice location 1
101 Aubreys Loop
South Boston, VA 24592-5054
Phone (434) 517-3879
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01337765 | Medicaid | CO |
Other providers in South Boston, VA
- Medtran
- Alisyn L. Metz
- Andrew D. Metz
- Robert Metz
- Michael K Haskett OD PC
- Corin Kelly Miller
- Mills Family Practice
- Amy C Mills
- Paul Alex Mitchell
- Tracey Wallace Mitchell
All providers in South Boston, VA · Emergency 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 Nov 19, 2020. 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.