Individual provider Active NPI

Andrew O'Halloran, MD

  • Physical Medicine & Rehabilitation Physician
  • Winchester, VA
National Provider Identifier
1740713775
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101285182 Issued in VA
Practice address
333 W Cork St Unit 230
Winchester, VA 22601-3871
Phone
(540) 536-1120
Fax
(540) 536-5139
NPI assigned
Apr 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 0101285182 VA Primary

Addresses

Primary practice location

333 W Cork St Unit 230
Winchester, VA 22601-3871

Mailing address

220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aohalloran1504455@ValleyHealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, 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
I20221123000319 OH Practitioner - Physical Medicine and Rehabilitation 4082982137 Reassigns benefits to 2 organizations
I20250702002700 VA Practitioner - Physical Medicine and Rehabilitation 4082982137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wright State University Boonshoft School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians

Practice addresses (Care Compare)

333 W Cork St
Suite 230
Winchester, VA 22601-3816
Phone (540) 536-5621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Jun 17, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Oct 27, 2022 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Jun 17, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince Dec 5, 2022 Accepting new patients
Premier Health Specialists Inc CurrentSince Dec 5, 2022 Accepting new patients
Somc Medical Care Foundation, Inc. Physical Medicine & Rehabilitation CurrentSince Oct 27, 2022 Accepting new patients
Winchester Medical Center Past Accepting new patients

Locations

30 E Apple St
#L200
Dayton, OH 45409
Phone (937) 208-2020

200 Medical Center Dr
Ste 375
Middletown, OH 45005
Phone (513) 420-3773

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

333 W Cork St
Unit 230
Winchester, VA 22601
Phone (540) 536-1120

220 Campus Blvd
Ste 320
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: aohalloran1504455@valleyhealth.direct-ci.com

Organizations & group practices 8

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 2

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1740713775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W CORK ST UNIT 230",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013871",
            "telephone_number": "540-536-1120",
            "fax_number": "540-536-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HALLORAN",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101285182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aohalloran1504455@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "333 W Cork St Unit 230",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226013871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.