Active NPI
Charlottesville Radiology
- Surgery Physician
- Charlottesville, VA
National Provider Identifier
1063532869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CHARLOTTESVILLE RADIOLOGY
- Practice address
- 500 Martha Jefferson Dr
Charlottesville, VA 22911-4668 - Phone
- (434) 654-7000
- NPI assigned
- Mar 29, 2007
- Last updated
- Nov 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christine Jargowski
- Title
- Office Manager
- Phone
- (434) 244-4580
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary | |
| Vascular Surgery Physician | 2086S0129X | NU |
Addresses
Primary practice location
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Mailing address
PO Box 197
State College, PA 16804-0197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB4302 | Other | VA | RRMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040602001497 | VA | Part B Supplier - Clinic/Group Practice | 1557259959 |
Receives reassigned benefits from 18 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Charlottesville, VA; Zion Crossroads, VA; Williamsburg, VA; Suffolk, VA; Leesburg, VA; Danville, VA; Ashburn, VA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Charlottesville, VA
- NPI 1205884962
O20040602001497
National Provider Directory
National Provider DirectoryLocations
29 Jefferson Ct
Zion Crossroads, VA 22942
Phone (434) 654-8900
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Charlottesville, VA
- NPI 1407061534
-
- Diagnostic Radiology Physician
- Charlottesville, VA
- NPI 1629041736
-
- Diagnostic Radiology Physician
- Charlottesville, VA
- NPI 1750354296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605052800000",
"number": "1063532869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 197",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168040197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MARTHA JEFFERSON DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229114668",
"telephone_number": "434-654-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLOTTESVILLE RADIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A",
"authorized_official_last_name": "JARGOWSKI",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "434-244-4580",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMED",
"identifier": "CB4302",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
- Charlottesville Pointe Rehabilitation and Healthcare Center, LLC
- Charlottesville Primary Care and Integrative Medicine PLLC
- Charlottesville Psychiatry PLLC
- Charlottesville Psychology & Performance, LLC
- Charlottesville PT Plus, LLC
- Charlottesville Radiology LTD
- Charlottesville Rehabilitation Equipment
- Charlottesville Sleep Solutions PLLC (Charlottesville Sleep Solutions)
- Charlottesville Wellness Center Family Practice
- Charlottesville Womens Services PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.