Individual provider Active NPI

Tonya Terese Hailes, MD

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1770608929
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD036199 Issued in DC
Practice address
1660 Columbia Road NW
Washington, DC 20009-3697
Phone
(202) 328-3717
Fax
(202) 548-8600
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C50611319 DC
Family Medicine Physician 207Q00000X MD036199 DC Primary

Addresses

Primary practice location

1660 Columbia Road NW
Washington, DC 20009-3697

Mailing address

1660 Columbia Road NW
Washington, DC 20009-3697
Phone (202) 328-3717

Other identifiers 1

IdentifierTypeStateIssuer
061712500MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20111026000462 DC Practitioner - Family Practice 9537136924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Care Inc.Group PAC ID 3476647264, 151 clinicians

Practice addresses (Care Compare)

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C50611319DCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Jul 23, 2011 Accepting new patients
Unity Health Care Inc. CurrentSince Jul 23, 2011 Accepting new patients
Person Family Medical Center Incorporated Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

1660 Columbia Rd NW
Washington, DC 20009
Phone (202) 328-3717

Interoperability endpoints

  • Direct secure messaging: tonya.hailes@uhci.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1770608929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 COLUMBIA ROAD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093697",
            "telephone_number": "202-328-3717",
            "fax_number": "202-588-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 COLUMBIA ROAD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093697",
            "telephone_number": "202-328-3717",
            "fax_number": "202-548-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILES",
        "first_name": "TONYA",
        "middle_name": "TERESE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "C50611319",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD036199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061712500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.