Individual provider Active NPI

Faisal Mohsin, M.D.

  • Psychiatry Physician
  • Hampton, VA
National Provider Identifier
1770550451
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101233580 Issued in VA
Practice address
200 Medical Dr Ste B
Hampton, VA 23666-1763
Phone
(757) 788-0200
Fax
(757) 788-0950
NPI assigned
Mar 2, 2006
Last updated
Apr 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101233580 VA Primary

Addresses

Primary practice location

200 Medical Dr Ste B
Hampton, VA 23666-1763

Mailing address

300 Medical Dr
2ND Floor
Hampton, VA 23666-1765
Phone (757) 788-0300

Other identifiers 4

IdentifierTypeStateIssuer
O87149MOtherVASENTARA BEHAVIORAL HEALTH
352973OtherVAANTHEM
CO3714OtherVAMEDICARE
4945573OtherVAMEDICAID - H-NNCSB

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
I20040127000907 VA Practitioner - Psychiatry 0840193082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Newport News Community Services BoardGroup PAC ID 0446247480, 26 clinicians

Practice addresses (Care Compare)

300 Medical Dr
Hampton, VA 23666-1765

300 Medical Dr FL
Suite 2
Hampton, VA 23666-1765

600 Medical Dr
Suite Aandb
Hampton, VA 23666-1769
Phone (757) 788-0600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Newport News Community Services Board CurrentSince Aug 15, 2008 Accepting new patients

Locations

200 Medical Dr
#A
Hampton, VA 23666
Phone (757) 788-0200

200 Medical Dr
#B
Hampton, VA 23666
Phone (757) 788-0200

300 Marcella Rd
Hampton, VA 23666
Phone (757) 323-7996

300 Medical Dr
Fl 2
Hampton, VA 23666
Phone (757) 788-0092

600 Medical Dr
Ste Ab
Hampton, VA 23666
Phone (757) 788-0600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1770550451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL DR",
            "address_2": "2ND FLOOR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661765",
            "telephone_number": "757-788-0300",
            "fax_number": "757-788-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL DR STE B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661763",
            "telephone_number": "757-788-0200",
            "fax_number": "757-788-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHSIN",
        "first_name": "FAISAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101233580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA BEHAVIORAL HEALTH",
            "identifier": "O87149M",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "352973",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CO3714",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - H-NNCSB",
            "identifier": "4945573",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.