Individual provider Active NPI

Amy Kathleen Barnhart, M.D.

  • Pediatrics Physician
  • Roanoke, VA
National Provider Identifier
1083686919
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101251071 Issued in VA
Practice address
4040 Postal Dr
Carilion Pediatric Medicine
Roanoke, VA 24018-6438
Phone
(540) 772-4453
NPI assigned
Feb 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01065098A IN
Pediatrics Physician 208000000X 0101251071 VA Primary

Addresses

Primary practice location

4040 Postal Dr
Carilion Pediatric Medicine
Roanoke, VA 24018-6438

Mailing address

4040 Postal Dr
Carilion Pediatric Medicine
Roanoke, VA 24018-6438
Phone (540) 772-4453

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abarnhart45020@direct.carilionclinic.org Direct

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
I20120625000357 VA Practitioner - Pediatric Medicine 7113932914 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065098AINMDPediatrics Physician
0101251071VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Oct 14, 2018 Accepting new patients
Carilion Healthcare Corporation CurrentSince May 14, 2012 Accepting new patients
Carilion Medical Center CurrentSince Oct 14, 2018 Accepting new patients
Carilion Healthcare Corporation CurrentSince May 14, 2012 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

4040 Postal Dr
Roanoke, VA 24018
Phone (540) 772-4453

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

4348 Electric Rd
Roanoke, VA 24018
Phone (540) 769-0600

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

Interoperability endpoints

  • Direct secure messaging: abarnhart45020@direct.carilionclinic.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1083686919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 POSTAL DR",
            "address_2": "CARILION PEDIATRIC MEDICINE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186438",
            "telephone_number": "540-772-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 POSTAL DR",
            "address_2": "CARILION PEDIATRIC MEDICINE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186438",
            "telephone_number": "540-772-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNHART",
        "first_name": "AMY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-04",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01065098A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101251071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abarnhart45020@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "abarnhart45020@direct.carilionclinic.org",
            "address_1": "4040 Postal Dr",
            "address_2": "Carilion Pediatric Medicine",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240186438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.