Active NPI
Mary Whittemore, M.D., M.P.H.
- Family Medicine Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101260888
- Practice address
- 540 Belvedere Blvd Ste 100
Charlottesville, VA 22901-3215 - Phone
- (434) 654-2830
- Fax
- (833) 232-3632
- NPI assigned
- Apr 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101260888 | VA | Primary |
Addresses
Primary practice location
540 Belvedere Blvd Ste 100
Charlottesville, VA 22901-3215
Mailing address
PO Box 79777
Baltimore, MD 21279-0777
Phone (434) 654-7794
Other practice location 1
416 Albemarle Sq
Charlottesville, VA 22901
Phone (434) 654-2830
Other practice location 2
416 Albemarle Sq
Charlottesville, VA 22901-7400
Phone (434) 978-2126
Other practice location 3
416 Albemarle Sq
Charlottesville, VA 22901-7400
Phone (434) 978-2126
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha Jefferson Medical Group LLC | Family Medicine | Current | Accepting new patients |
| Martha Jefferson Hospital | Past | Accepting new patients |
Locations
540 Belvedere Blvd
#100
Charlottesville, VA 22901
Phone (434) 654-2830
416 Albemarle Sq
Charlottesvle, VA 22901
Phone (434) 220-0021
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
Interoperability endpoints
- mary.whittemore.1@20955.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
-
dba Sentara Endoscopy Center
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1023452562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79777",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212790777",
"telephone_number": "434-654-7794",
"fax_number": "833-732-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 BELVEDERE BLVD STE 100",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229013215",
"telephone_number": "434-654-2830",
"fax_number": "833-232-3632"
}
],
"practiceLocations": [
{
"address_1": "416 Albemarle Sq",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "22901",
"country_code": "US",
"telephone_number": "434-654-2830",
"fax_number": "833-732-3632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "416 Albemarle Sq",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229017400",
"country_code": "US",
"telephone_number": "434-978-2126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "416 Albemarle Sq",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229017400",
"country_code": "US",
"telephone_number": "434-978-2126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTEMORE",
"first_name": "MARY",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-27",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101260888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.