Active NPI
Jay C. Fertile, MD
- Diagnostic Radiology Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101057922
- Practice address
- 500 Martha Jefferson Dr
Charlottesville Radiology
Charlottesville, VA 22911-4668 - Phone
- (434) 244-4580
- Fax
- (434) 244-4579
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101057922 | VA | Primary |
Addresses
Primary practice location
500 Martha Jefferson Dr
Charlottesville Radiology
Charlottesville, VA 22911-4668
Mailing address
PO Box 197
State College, PA 16804-0197
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007233761 | Medicaid | VA | |
| 300123077 | Other | VA | RRMED |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfertile246055@direct.sentara.net | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Virginia School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7106
Hospital & facility affiliations
- Sentara Martha Jefferson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.35 of 100
- Quality
- 83.39
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlottesville Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Sentara Advanced Imaging Solutions, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Allegheny Clinic Radiology | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Physicians Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
435 Merchant Walk Sq
Ste 400
Charlottesville, VA 22902
Phone (434) 654-1800
595 Martha Jefferson Dr
Charlottesville, VA 22911
Phone (434) 293-4995
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
920 E High St
Ste 1
Charlottesvle, VA 22902
Phone (434) 654-1980
3263 Proffit Rd
Charlottesvle, VA 22911
Phone (434) 654-4650
29 Jefferson Ct
Zion Crossroads, VA 22942
Phone (434) 654-8900
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Charlottesville, VA
- NPI 1205884962
-
- Diagnostic Radiology Physician
- Charlottesville, VA
- NPI 1144941808
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1992183164
-
- Diagnostic Radiology Physician
- Dayton, OH
- NPI 1851390850
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1104899616",
"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",
"address_2": "CHARLOTTESVILLE RADIOLOGY",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229114668",
"telephone_number": "434-244-4580",
"fax_number": "434-244-4579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERTILE",
"first_name": "JAY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101057922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007233761",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMED",
"identifier": "300123077",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfertile246055@direct.sentara.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 Martha Jefferson Dr",
"address_2": "Charlottesville Radiology",
"city": "Charlottesville",
"state": "VA",
"country_code": "US",
"postal_code": "229114668",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 1, 2021; 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.