NPIMap

Individual provider Active NPI

James B Min, MD

  • Family Medicine Physician
  • Haymarket, VA
National Provider Identifier
1801871165
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101230942 Issued in VA
Practice address
15195 Heathcoat Blvd
Suite 338
Haymarket, VA 20169-6244
Phone
(703) 368-3161
Fax
(703) 368-2498
NPI assigned
Dec 9, 2005
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101230942 VA Primary

Addresses

Primary practice location

15195 Heathcoat Blvd
Suite 338
Haymarket, VA 20169-6244

Mailing address

PO Box 748613
Atlanta, GA 30374-8613

Other identifiers 1

IdentifierTypeStateIssuer
010093325MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmin516938@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000117 VA Practitioner - Family Practice 1153397781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25055 Riding PLZ
Suite 220
South Riding, VA 20152-5920
Phone (703) 722-5840

8640 Sudley Rd
Suite 203
Manassas, VA 20110-4404
Phone (703) 368-3161

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince Sep 3, 2013 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Sep 3, 2013 Accepting new patients
Uva Community Health Medical Group, LLC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

14540 John Marshall Hwy
Ste 104
Gainesville, VA 20155
Phone (703) 712-6062

8691 Stonewall Rd
Manassas, VA 20110
Phone (703) 368-1182

Interoperability endpoints

  • Direct secure messaging: jmin516938@direct.healthsystem.virginia.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1801871165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748613",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 HEATHCOAT BLVD",
            "address_2": "SUITE 338",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201696244",
            "telephone_number": "703-368-3161",
            "fax_number": "703-368-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101230942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010093325",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmin516938@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15195 Heathcoat Blvd",
            "address_2": "Suite 338",
            "city": "Haymarket",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201696244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

Verify at the official NPI Registry.