Individual provider Active NPI

James Allen Henry, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Salem, VA
National Provider Identifier
1619954351
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
0101055117 Issued in VA
Practice address
1802 Braeburn Dr
Salem, VA 24153-7357
Phone
(540) 772-3547
Fax
(540) 725-5053
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X M9400 ID
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X MD00044905 WA
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 0101055117 VA Primary

Addresses

Primary practice location

1802 Braeburn Dr
Salem, VA 24153-7357

Mailing address

1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 772-3547

Other identifiers 2

IdentifierTypeStateIssuer
1619954351MedicaidVA
7003411MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061011000764 DC Practitioner - Pathology 9931131489 Reassigns benefits to 3 organizations
I20080114000338 VA Practitioner - Pathology 9931131489 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

8709 Professional PL
Suite 279
Manassas, VA 20110-4424
Phone (703) 698-8960

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
56.13
Promoting interoperability
98
Improvement activities
40
Cost
80.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9400IDMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Northern Virginia, LLC CurrentSince Dec 11, 2023 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services - Pathology CurrentSince Jan 1, 2014 Accepting new patients
Inova Health Care Services CurrentSince Feb 21, 2014 Accepting new patients
Inova Health Care Services CurrentSince Feb 21, 2014 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2015 Accepting new patients
Reston Pathology Associates, P.L.L.C. Past Accepting new patients
Blue Mountain Pathology, Professioanl Corporation Past Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

4660 Kenmore Ave
Ste 810
Alexandria, VA 22304
Phone (703) 823-0333

2616 Sherwood Hall Ln
Ste 203
Alexandria, VA 22306
Phone (703) 360-0594

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

3301 Woodburn Rd
Ste 107
Annandale, VA 22003
Phone (703) 876-0437

3299 Woodburn Rd
Ste 210
Annandale, VA 22003
Phone (703) 204-0000

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

8709 Professional Pl
#279
Manassas, VA 20110

8709 Professional Pl
Ste 279
Manassas, VA 20110

8140 Ashton Ave
Ste 212
Manassas, VA 20109
Phone (703) 362-3114

8709 Professional Pl
Ste B
Manassas, VA 20110
Phone (703) 365-2517

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

422 Garrisonville Rd
Ste 109
Stafford, VA 22554
Phone (540) 659-9359

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

14010 Smoketown Rd
Ste 117
Woodbridge, VA 22192
Phone 7035800181135

Organizations & group practices 9

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1619954351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-772-3547",
            "fax_number": "540-725-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-772-3547",
            "fax_number": "540-725-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "ID",
            "license": "M9400",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "WA",
            "license": "MD00044905",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "VA",
            "license": "0101055117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619954351",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003411",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.