Active NPI
Agha Suhail Haider, MD
- Pulmonary Disease Physician
- Hopewell, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101058338
- Practice address
- 602 N 6TH Ave
Hopewell, VA 23860-2621 - Phone
- (804) 458-7781
- Fax
- (804) 458-7814
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0101058338 | VA | Primary |
Addresses
Primary practice location
602 N 6TH Ave
Hopewell, VA 23860-2621
Mailing address
602 N 6TH Ave
Hopewell, VA 23860-2621
Phone (804) 458-7781
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05898 | Other | MEDICARE GROUP NUMBER | |
| 1821057639 | Other | VA | GROUP NPI |
| 290011273 | Other | VA | MEDICARE RAILROAD |
| 005819776 | Medicaid | VA | |
| CI3965 | Other | VA | MEDICARE RR GROUP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
602 N 6TH Ave
Hopewell, VA 23860-2621
Phone (804) 452-7781
Hospital & facility affiliations
- Bon Secours Southside Medical Center
- John Randolph Medical Center
- CJW Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary & Critical Care Associates of the Tri-Cities PC | Pulmonary Disease | Current | Accepting new patients |
| Hopewell Gastroenterology PC | Past | Accepting new patients |
Locations
602 N 6th Ave
Hopewell, VA 23860
Phone (804) 452-7781
603 Eppes St
Hopewell, VA 23860
Phone (804) 306-3705
261 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 835-9748
Interoperability endpoints
- pulmonarycriticalcareassociatesoftc.aghashaider@119905.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Hopewell, VA
- NPI 1821057639
-
- Gastroenterology Physician
- Hopewell, VA
- NPI 1568571685
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Petersburg, VA
- NPI 1720623853
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
-
- General Acute Care Hospital
- Hopewell, VA
- NPI 1285671248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1730158064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N 6TH AVE",
"city": "HOPEWELL",
"state": "VA",
"postal_code": "238602621",
"telephone_number": "804-458-7781",
"fax_number": "804-458-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N 6TH AVE",
"city": "HOPEWELL",
"state": "VA",
"postal_code": "238602621",
"telephone_number": "804-458-7781",
"fax_number": "804-458-7814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIDER",
"first_name": "AGHA",
"middle_name": "SUHAIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101058338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "C05898",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1821057639",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "290011273",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005819776",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR GROUP",
"identifier": "CI3965",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hopewell, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.