DR. JACK C HUANG M.D. NPI 1003802380

Internal Medicine (Gastroenterology) in Woodbridge, VA

Individual Male Internal Medicine Gastroenterology PECOS Enrolled Accepts Medicare Years Experience 22

About JACK HUANG

Jack Huang is a provider established in Woodbridge, Virginia and his medical specialization is internal medicine with more than 22 years of experience. The NPI number of Jack Huang is 1003802380 and was assigned on September 2005. The practitioner's primary taxonomy code is 207RG0100X with license number 0101235911 (VA). The provider is registered as an individual and his NPI record was last updated 2 years ago. Jack Huang is enrolled in PECOS and registered with Medicare accepting claims assignment.

NPI

1003802380

Provider NameDR. JACK C HUANG M.D.
Provider Location Address14010 SMOKETOWN RD SUITE 117 WOODBRIDGE, VA 22192
Provider Mailing Address14010 SMOKETOWN RD SUITE 117 WOODBRIDGE, VA 22192
GenderMale
NPI Entity TypeIndividual
Medical School NameNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1998
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-22-2005
Last Update Date02-13-2018

Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.0101235911
License StateVA
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

DR. JACK C HUANG M.D.
14010 SMOKETOWN RD
SUITE 117
WOODBRIDGE, VA
ZIP 22192
Phone: (703) 580-0181
Fax: (703) 897-8763

Get Directions

Mailing Address

DR. JACK C HUANG M.D.
14010 SMOKETOWN RD
SUITE 117
WOODBRIDGE, VA
ZIP 22192
Phone: (703) 580-0181
Fax: (703) 897-8763

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8628051455
PECOS Enrollment IDI20040611000278, I20041207000408
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
EHR Incentive Program Yes "Electronic Health Records (EHR) Incentive Programs"
The Medicare EHR Incentive Program eligible professionals ended with the 2016 reporting period. Starting in 2017, eligible clinicians will report to the Quality Payment Program (QPP).

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 106Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 67Biopsy of large bowel using an endoscope (HCPCS:45380)
  • 62Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • 12Diagnostic examination of large bowel using an endoscope (HCPCS:45378)

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
SENTARA NORTHERN VIRGINIA MEDICAL CENTER490113
STAFFORD HOSPITAL, LLC490140
NOVANT PRINCE WILLIAM MEDICAL CENTER490045

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
010102138MEDICAID (05)VA

Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154499069DR. GHAZALEH ARAM MD
Individual
Internal Medicine (Gastroenterology)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1326034695DR. ATUL V MARATHE
Individual
Internal Medicine (Gastroenterology)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1326205113DR. BENJAMIN EDWARD YOUNG II MD
Individual
Internal Medicine (Gastroenterology)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1346403920 ANISHA THADANI MD
Individual
Internal Medicine (Gastroenterology)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1457546236DR. ARUNAN VAMADEVAN M.D.
Individual
Internal Medicine (Gastroenterology)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1538420922 RACHEL BROOKE KENNEDY PA-C
Individual
Physician Assistant14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1548657117 TINA POLLEY
Individual
Nurse Practitioner (Family)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1578096897 KELSEY GAID
Individual
Physician Assistant (Medical)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1609019520 ALI FARHAD KAZEMI M.D.
Individual
Internal Medicine (Gastroenterology)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1629462171ADVANCED DIGESTIVE CARE, LLC
Organization
Pathology (Clinical Pathology/Laboratory Medicine)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1639686009 MAHNOOR MOIN
Individual
Physician Assistant (Medical)14010 SMOKETOWN RD
WOODBRIDGE, VA 22192
(703) 580-0181
1679881486 CARLYLE FAIRFAX HOOFF CASELLA PA
Individual
Physician Assistant14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1861488637DR. MICHAEL C. BROWN M.D.
Individual
Internal Medicine (Gastroenterology)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1922094580DR. KENNETH NEIL JOSOVITZ M.D.
Individual
Internal Medicine (Gastroenterology)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1922548130 NITIKSHA PATEL PA-C
Individual
Physician Assistant (Medical)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181
1982097770ASSOCIATES IN GASTROENTEROLOGY, PC
Organization
Nurse Practitioner (Family)14010 SMOKETOWN RD SUITE 117
WOODBRIDGE, VA 22192
(703) 580-0181

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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