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JONATHAN L HALBACH D.O.
NPI 1104150804
Surgery - Pediatric Surgery in Portsmouth, VA

Active since September 28, 2009PECOS Enrolled
NMRTC PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708(757) 953-2446 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan L Halbach D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN L HALBACH D.O. (NPI 1104150804) is an individual pediatric surgery provider in Portsmouth, Virginia, licensed in Virginia (0102207283) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104150804
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameJONATHAN L HALBACHCredential: D.O.
Location AddressNMRTC PORTSMOUTH, 620 JOHN PAUL JONES CIRCLEPortsmouth, VA 23708
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111 · (757) 953-2433
Phone(757) 953-2446
Sole ProprietorYes
Enumeration DateSeptember 28, 2009
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1104150804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in VA · 0102207283
Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License 0102207283 (VA)
NMRTC PORTSMOUTH, Portsmouth, VA 23708
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Secondary Practice Locations 2

Location 11000 E Broad StRichmond, VA 23219-1930 · Phone (804) 828-3500 · Fax (804) 628-4594
Location 21250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-3500 · Fax (804) 628-4594

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan L Halbach D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK PETER TSCHANZ D.O.
Internal Medicine
NMRTC PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (619) 532-8225
SUNNY CLOE BARTHOLOMEW CNM
Midwife
NMRTC PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (412) 641-4874
DR. ALEXANDER OLIVER BERG MD
Hospitalist
NMRTC PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (904) 542-7762
IAN WARE DMD
Dentist
NMRTC PORTSMOUTH, 620 JOHN PAUL JONES
PORTSMOUTH, AE 23708
Portsmouth City (757) 953-7133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Halbach's NPI number?

The NPI number for Jonathan Halbach is 1104150804. It was assigned to this individual provider in the NPPES registry on September 28, 2009.

Where is Jonathan Halbach located?

Jonathan Halbach practices at Nmrtc Portsmouth 620 John Paul Jones Circle, Portsmouth, VA 23708. The listed phone number is (757) 953-2446.

What is Jonathan Halbach's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Jonathan Halbach enrolled in Medicare?

Yes. Jonathan Halbach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Halbach was last updated on August 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.