Kathleen Deponte, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35177 Issued in VA

Practice address

935 Virginia Ave NW
Norton, VA 24273-1818

Phone

(276) 679-2729

Fax

(276) 679-0578

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

No

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.

• Blue Ridge Radiology, P.C.

  • Diagnostic Radiology Physician
  • Bristol, TN
  • NPI 1881687689

  Diagnostic Radiology, TN, VA

  Medicare reassignment Care Compare group NPD
• Mountain Empire Radiology Inc PC

  • Diagnostic Radiology Physician
  • Johnson City, TN
  • NPI 1093762759

  Diagnostic Radiology, TN, VA

  Medicare reassignment NPD

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

• Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Abingdon, VA
  • NPI 1104812684

  Hospital

  Care Compare affiliation
• Wellmont Health System

  • General Acute Care Hospital
  • Big Stone Gap, VA
  • NPI 1801826912

  Hospital

  Care Compare affiliation
• Mountain States Health Alliance

  • General Acute Care Hospital
  • Johnson City, TN
  • NPI 1114033628

  Hospital

  Care Compare affiliation
• Wellmont Health System

  • General Acute Care Hospital
  • Bristol, TN
  • NPI 1124058615

  Hospital

  Care Compare affiliation
• Wellmont Health System

  • General Acute Care Hospital
  • Kingsport, TN
  • NPI 1487690400

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

Hahnemann University College of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ridge Radiology PC 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114
• Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
• Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
• Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
• Franklin Woods Community Hospital Hospital, Johnson City, TN, CCN 440184

Medicare fee-for-service enrollment

Enrolled in VA, TN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2016.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1104024256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SUNSET DR",
            "address_2": "STE 3",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047906",
            "telephone_number": "423-979-5610",
            "fax_number": "423-926-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 VIRGINIA AVE NW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731818",
            "telephone_number": "276-679-2729",
            "fax_number": "276-679-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPONTE",
        "first_name": "KATHLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "35177",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD35510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007200781",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64794456",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy R Deel, D.O.
• Samuel Patton Deel, D.O.
• Alli D. Delp, DO
• Robbie Dennis, MD
• Sarah Depew
• Diagnostic Imaging Associates P C
• Diagnostic Imaging Inc
• Dickenson County Home Health and Hospice, Inc
• Suraj Divecha, MD
• William Boone Dotten, BS IN PHARMACY

• All providers in Norton, VA
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.

Verify at the official NPI Registry.