Organization Active NPI

Thomas H Rhee, MD, PC

  • Otolaryngology Physician
  • Manassas, VA
National Provider Identifier
1720273972
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101233915 Issued in VA
Legal business name
THOMAS H RHEE, MD, PC
Practice address
8703 Stonewall Rd Ste 1B
Manassas, VA 20110-8325
Phone
(703) 369-3500
NPI assigned
Sep 11, 2007
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dr. Thomas H Rhee, MDNPI 1588658843
Title
President
Phone
(703) 369-3500

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
Otolaryngology Physician 207Y00000X 0101233915 VA Primary

Addresses

Primary practice location

8703 Stonewall Rd Ste 1B
Manassas, VA 20110-8325

Mailing address

8703 Stonewall Rd Ste 1B
Manassas, VA 20110-8325
Phone (703) 369-3500

Other identifiers 1

IdentifierTypeStateIssuer
P00049731OtherVAMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040803001707 VA Part B Supplier - Clinic/Group Practice 2860463882 Receives reassigned benefits from 1 practitioner
Practice locations: Manassas, VA
O20050211000564 DC Part B Supplier - Clinic/Group Practice 2860463882 Receives reassigned benefits from 1 practitioner
Practice locations: Manassas, VA

National Provider Directory

National Provider Directory

Locations

4600 John Marr Dr
Ste 301
Annandale, VA 22003
Phone (703) 625-1322

15195 Heathcote Blvd
Ste 358
Haymarket, VA 20169
Phone (703) 753-0990

Practitioners & affiliated clinicians

Practitioners 8

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": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1720273972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 STONEWALL RD STE 1B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108325",
            "telephone_number": "703-369-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 STONEWALL RD STE 1B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108325",
            "telephone_number": "703-369-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H RHEE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "RHEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-369-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101233915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00049731",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.