Individual provider Active NPI

David Lea Harris, MD

  • Urology Physician
  • Kilmarnock, VA
National Provider Identifier
1003820523
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101023906 Issued in VA
Practice address
95 Harris Drive
Kilmarnock, VA 22482
Phone
(804) 435-1661
Fax
(804) 435-0117
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101023906 VA Primary

Addresses

Primary practice location

95 Harris Drive
Kilmarnock, VA 22482

Mailing address

PO Box 1449
95 Harris Dr
Kilmarnock, VA 22482-1449
Phone (804) 435-1661

Other identifiers 1

IdentifierTypeStateIssuer
7572611MedicaidVA

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
I20070410000092 VA Practitioner - Urology 8921102518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Northwestern University Feinberg Medical School, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

95 Harris Rd
Suite 3
Kilmarnock, VA 22482-3845
Phone (804) 435-1661

Hospital & facility affiliations

  • Rappahannock General Hospital Hospital, Kilmarnock, VA, CCN 491308

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David L Harris MD LTD Urology CurrentSince Feb 26, 2007 Accepting new patients

Locations

95 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0023

95 Harris Rd
Ste 3
Kilmarnock, VA 22482
Phone (804) 435-1661

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003820523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "address_2": "95 HARRIS DR",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224821449",
            "telephone_number": "804-435-1661",
            "fax_number": "804-435-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 HARRIS DRIVE",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "22482",
            "telephone_number": "804-435-1661",
            "fax_number": "804-435-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAVID",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101023906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7572611",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

Verify at the official NPI Registry.