Individual provider Active NPI

Stacy Ann-Marie Dehal, M. D.

  • Obstetrics & Gynecology Physician
  • Gainesville, VA
National Provider Identifier
1922009265
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101057518 Issued in VA
Practice address
7915 Lake Manassas Dr
Suite 205
Gainesville, VA 20155-3258
Phone
(571) 261-3529
Fax
(703) 753-5613
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101057518 VA Primary

Addresses

Primary practice location

7915 Lake Manassas Dr
Suite 205
Gainesville, VA 20155-3258

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7680

Other identifiers 1

IdentifierTypeStateIssuer
6211879MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdehalclarke418589@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091201000058 VA Practitioner - Obstetrics/Gynecology 0941349195 Reassigns benefits to 2 organizations
I20121109000490 DC Practitioner - Obstetrics/Gynecology 0941349195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uva Community Health Medical Group LLCGroup PAC ID 4688587967, 339 clinicians

Practice addresses (Care Compare)

7915 Lake Manassas Dr
Suite 205
Gainesville, VA 20155-3260
Phone (571) 261-3529

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2017 Accepting new patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Oct 28, 2018 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology CurrentSince Oct 1, 2012 Accepting new patients
Inova Health Care Services CurrentSince Oct 1, 2012 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jan 1, 2017 Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology Past Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

3620 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 264-7801

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

7915 Lake Manassas Dr
Ste 205
Gainesville, VA 20155
Phone (571) 261-3529

9304 Forest Point Cir
Manassas, VA 20110
Phone (703) 368-1969

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

Interoperability endpoints

  • Direct secure messaging: sdehalclarke514034@direct.healthsystem.virginia.edu

Organizations & group practices 8

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1922009265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-7680",
            "fax_number": "704-316-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DR",
            "address_2": "SUITE 205",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553258",
            "telephone_number": "571-261-3529",
            "fax_number": "703-753-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAL",
        "first_name": "STACY",
        "middle_name": "ANN-MARIE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101057518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6211879",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdehalclarke418589@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "7915 Lake Manassas Dr",
            "address_2": "Suite 205",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201553258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.