Individual provider Active NPI

Hope A Haffizulla, MD

  • Family Medicine Physician
  • Chesterfield, VA
National Provider Identifier
1689645327
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101238232 Issued in VA
Practice address
7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827
Phone
(804) 256-8282
Fax
(804) 256-8288
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101238232 VA Primary

Addresses

Primary practice location

7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827

Mailing address

7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827
Phone (804) 256-8282

Other identifiers 2

IdentifierTypeStateIssuer
VV6231I035OtherVAMEDICARE PTAN
1689645327MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050902000317 VA Practitioner - Family Practice 5890727556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4823 S Laburnum Ave
Suite B
Richmond, VA 23231-2713
Phone (804) 597-9192

Hospital & facility affiliations

  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Primary Care PLLC Family Medicine CurrentSince May 26, 2023 Accepting new patients
Paladin Dermatology LLC PastSince Jun 1, 2021 Accepting new patients
James River Cardiology, LLC PastSince Jun 1, 2021 Accepting new patients
Vernon J Harris East End Community Health Center Past Accepting new patients

Locations

4823 S Laburnum Ave
Ste B
Richmond, VA 23231
Phone (804) 277-9631

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIBDD/Endpoint/EDIBDD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1689645327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 ASHLAKE PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322827",
            "telephone_number": "804-256-8282",
            "fax_number": "804-256-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 ASHLAKE PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322827",
            "telephone_number": "804-256-8282",
            "fax_number": "804-256-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFIZULLA",
        "first_name": "HOPE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101238232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VV6231I035",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689645327",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.