NPIMap

Organization Active NPI

Children's Heart Institute

Doing business as Children's Heart Clinic

  • Specialist
  • Herndon, VA
National Provider Identifier
1922058668
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101058336 Issued in VA
Legal business name
CHILDREN'S HEART INSTITUTE
Doing business as
Children's Heart Clinic
Practice address
171 Elden Street, Ste. 2C4
Herndon, VA 20170
Phone
(571) 612-2600
Fax
(571) 266-4096
NPI assigned
May 11, 2006
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Dr. Hasan I. Abdallah, M.D.NPI 1477504413
Title
Medical Director
Phone
(703) 481-5801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101058336 VA Primary

Addresses

Primary practice location

171 Elden Street, Ste. 2C4
Herndon, VA 20170

Mailing address

P.O. Box 10066
McLean, VA 22102
Phone (571) 612-2600

Other identifiers 1

IdentifierTypeStateIssuer
006716512MedicaidVA

Other names 1

  • Children's Heart Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

120 Sister Pierre Dr
Ste 504
Towson, MD 21204
Phone (301) 337-8802

3869 Plaza Dr
Fairfax, VA 22030
Phone (443) 927-2820

1101 Sam Perry Blvd
Ste 415
Fredericksburg, VA 22401
Phone (540) 310-0117

605 Emancipation Hwy
Ste 101
Fredericksburg, VA 22401

19465 Deerfield Ave
Ste 310
Leesburg, VA 20176
Phone (703) 724-0410

8609 Sudley Rd
Ste 203
Manassas, VA 20110
Phone (571) 612-2611

9548 Surveyor Ct
Manassas, VA 20110
Phone (703) 369-9090

1830 Town Center Dr
Ste 303
Reston, VA 20190
Phone (703) 326-0700

172 Linden Dr
Ste 113
Winchester, VA 22601
Phone (540) 667-3713

12604 Lake Ridge Dr
Woodbridge, VA 22192
Phone (703) 497-4700

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1922058668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 10066",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22102",
            "telephone_number": "571-612-2600",
            "fax_number": "571-266-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ELDEN STREET, STE. 2C4",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20170",
            "telephone_number": "571-612-2600",
            "fax_number": "571-266-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEART INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "HASAN",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-481-5801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101058336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006716512",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Heart Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.