Individual provider Active NPI

Han Tonthat, MD

  • Internal Medicine Physician
  • Herndon, VA
National Provider Identifier
1801897335
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101056112 Issued in VA
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

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000330 DC Practitioner - Internal MedicinePractitioner - Psychiatry 3779684345 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Psychiatry
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

OrganizationSpecialtyStatusNew patients
Refreva LLC Internal Medicine CurrentSince Jun 20, 2025 Accepting new patients
4H Medical LLC CurrentSince Aug 20, 2008 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

Verify at the official NPI Registry.