Active NPI
Han Tonthat, MD
- Internal Medicine Physician
- Herndon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101056112
- Practice address
- 1035 Sterling Rd Ste 104
Herndon, VA 20170-3838 - Phone
- (703) 840-0610
- Fax
- (571) 323-3243
- NPI assigned
- Aug 9, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101056112 | VA | Primary |
Addresses
Primary practice location
1035 Sterling Rd Ste 104
Herndon, VA 20170-3838
Mailing address
1035 Sterling Rd Ste 104
Herndon, VA 20170-3838
Phone (703) 840-0610
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1035 Sterling Rd
Suite 104
Herndon, VA 20170-3838
Phone (786) 788-5080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refreva LLC | Internal Medicine | Current | Accepting new patients |
| 4H Medical LLC | Current | Accepting new patients |
Locations
1035 Sterling Rd
Ste 104
Herndon, VA 20170
Phone (703) 840-0610
1035 Sterling Rd
Herndon, VA 20170
Phone (703) 471-8080
1041 Sterling Rd
Ste 106
Herndon, VA 20170
Phone (703) 840-0610
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1801897335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 STERLING RD STE 104",
"city": "HERNDON",
"state": "VA",
"postal_code": "201703838",
"telephone_number": "703-840-0610",
"fax_number": "571-323-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 STERLING RD STE 104",
"city": "HERNDON",
"state": "VA",
"postal_code": "201703838",
"telephone_number": "703-840-0610",
"fax_number": "571-323-3243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONTHAT",
"first_name": "HAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101056112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.