JONATHAN L. HALBACH D.O. – NPI #1104150804
Surgery

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

JONATHAN HALBACH is a surgeon located in PORTSMOUTH, VA. NPPES has assigned the NPI number 1104150804 to JONATHAN HALBACH on September 28, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0120X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Pediatric Surgery

The NPI profile was last updated on Aug 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JONATHAN HALBACH below.

NPI Profile for
JONATHAN L. HALBACH

NPI Number
1104150804
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JONATHAN L. HALBACH
Credentials
D.O.
Primary location
NMRTC PORTSMOUTH
620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Phone: (757) 953-2446 Fax:
2 Other location(s):
1000 E Broad St
Richmond, VA 23219-1930
Phone: (804) 828-3500
Fax: (804) 628-4594
1250 E Marshall St
Richmond, VA 23298-5023
Phone: (804) 828-3500
Fax: (804) 628-4594
Mailing address
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone: (757) 953-2433 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Aug 21, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0120X
- Surgery / Pediatric Surgery (Primary)
VA 0102207283
208600000X
- Surgery
VA 0102207283

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.