Active NPI
Clarence E Pearson, MD
- Cardiovascular Disease Physician
- Martinsville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101033368
- Practice address
- 1107B Brookdale St
Martinsville, VA 24112-4501 - Phone
- (276) 634-4400
- Fax
- (276) 638-2900
- NPI assigned
- Jun 8, 2005
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101033368 | VA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 2003-0352 | NM |
Addresses
Primary practice location
1107B Brookdale St
Martinsville, VA 24112-4501
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21931828 | Medicaid | NM |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1107 A Brookdale St
Martinsville, VA 24112-4501
Phone (276) 670-3300
180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Siavash Karimian MD of New Mexico PC Dba Roswell Medico | Past | Accepting new patients | |
| New Mexico Heart Institute, LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1107 Brookdale St
Martinsville, VA 24112
Phone (276) 634-0005
1107A Brookdale St
Martinsville, VA 24112
Phone (276) 634-0379
1107B Brookdale St
Martinsville, VA 24112
Phone (276) 634-4400
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277
Interoperability endpoints
- cpearson132955@direct.carilionclinic.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
dba Bridgewater College Student Health Center
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
dba Carilion Clinic - DME - Westlake
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- Cardiovascular Disease Physician
- Albuquerque, NM
- NPI 1346242575
-
dba Roswell MediCo
- Family Medicine Physician
- Roswell, NM
- NPI 1053546796
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rocky Mount, VA
- NPI 1710970918
-
- Hospitalist Physician
- Pearisburg, VA
- NPI 1023663267
-
- Emergency Medicine Physician
- Pearisburg, VA
- NPI 1164076634
Hospital
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Multi-Specialty Clinic/Center
- Pearisburg, VA
- NPI 1346894813
Hospital
-
dba SOVAH Health Martinsville
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
dba SOVAH Health Danville
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1083618987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107B BROOKDALE ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241124501",
"telephone_number": "276-634-4400",
"fax_number": "276-638-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "CLARENCE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2023-03-07",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101033368",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NM",
"license": "2003-0352",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21931828",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.