Individual provider Active NPI

Cuong T. Ha, M.D.

  • Specialist
  • Gainesville, VA
National Provider Identifier
1962499061
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101234235 Issued in VA
Practice address
7051 Heathcote Village Way
Suite 210
Gainesville, VA 20155
Phone
(571) 261-1234
NPI assigned
Oct 4, 2005
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101234235 VA Primary

Addresses

Primary practice location

7051 Heathcote Village Way
Suite 210
Gainesville, VA 20155

Mailing address

7051 Heathcote Village Way
Suite 210
Gainesville, VA 20155
Phone (571) 261-1234

Other practice location 1

7500 Iron Bar Ln
Suite 215
Gainesville, VA 20155-3603
Phone (571) 261-1234

Other identifiers 1

IdentifierTypeStateIssuer
0101234235OtherVASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctha@directaddress.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101119000792 VA Practitioner - Dermatology 7719045582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7051 Heathcote Village Way
Suite 210
Gainesville, VA 20155-3199
Phone (571) 261-1234

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision462
Removal of skin lesions6778
Removal or shaving of skin growth983
Skin biopsy218

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prince William Dermatology, P.C. Specialist CurrentSince Sep 1, 2003 Accepting new patients

Locations

7051 Heathcote Village Way
Ste 105
Gainesville, VA 20155
Phone (703) 291-1254

7051 Heathcote Village Way
Ste 210
Gainesville, VA 20155
Phone (571) 261-1234

7500 Iron Bar Ln
Ste 215
Gainesville, VA 20155
Phone (571) 248-5838

Interoperability endpoints

  • Direct secure messaging: ctha@directaddress.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1962499061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 HEATHCOTE VILLAGE WAY",
            "address_2": "SUITE 210",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "571-261-1234",
            "fax_number": "571-261-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 HEATHCOTE VILLAGE WAY",
            "address_2": "SUITE 210",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "571-261-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Iron Bar Ln",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201553603",
            "country_code": "US",
            "telephone_number": "571-261-1234",
            "fax_number": "571-261-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "CUONG",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101234235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101234235",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctha@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct messaging address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7051 Heathcote Village Way",
            "address_2": "Suite 210",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "20155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.