Individual provider Active NPI

Eden Haile, DO

  • Pediatrics Physician
  • Falls Church, VA
National Provider Identifier
1972062024
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102207725 Issued in VA
Practice address
6400 Arlington Blvd Ste 200
Falls Church, VA 22042-2336
Phone
(703) 531-3100
NPI assigned
Mar 18, 2019
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0210001333 DC
Pediatrics Physician 208000000X 0102207725 VA Primary

Addresses

Primary practice location

6400 Arlington Blvd Ste 200
Falls Church, VA 22042-2336

Mailing address

3020 14TH St NW
Washington, DC 20009-6865

Other practice location 1

3020 14th St NW
Washington, DC 20009-6865
Phone (024) 694-6992

Other practice location 2

600 Herndon Pkwy Ste 200
Herndon, VA 20170-5495
Phone (703) 531-3100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehaile1164181@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20230203000673 DC Practitioner - Pediatric Medicine 8527430313 Reassigns benefits to 2 organizations
I20230724001344 VA Practitioner - Pediatric Medicine 8527430313 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0210001333DCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Oct 24, 2022 Accepting new patients
Unity Health Care Inc. CurrentSince Oct 24, 2022 Accepting new patients
Inova Health Care Services CurrentSince Jun 19, 2023 Accepting new patients

Locations

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

3020 14th St NW
Washington, DC 20009
Phone (202) 745-4300

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

6400 Arlington Blvd
Ste 200
Falls Church, VA 22042
Phone (703) 531-3100

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: ehaile1164181@soc.inova.org

Organizations & group practices 4

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1972062024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 ARLINGTON BLVD STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422336",
            "telephone_number": "703-531-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 14th St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200096865",
            "country_code": "US",
            "telephone_number": "024-694-6992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Herndon Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201705495",
            "country_code": "US",
            "telephone_number": "703-531-3100",
            "fax_number": "703-689-8959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAILE",
        "first_name": "EDEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "D0210001333",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102207725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehaile1164181@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6400 Arlington Blvd Ste 200",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220422336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.