Active NPI
Richard Stewart Robertson Hargrove
- Internal Medicine Physician
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102207324
- Practice address
- 1900 Electric Rd
Salem, VA 24153-7474 - Phone
- (540) 776-4000
- NPI assigned
- Mar 18, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102207324 | VA | Primary |
Addresses
Primary practice location
1900 Electric Rd
Salem, VA 24153-7474
Mailing address
16637 MLC LN
Rockville, VA 23146-1855
Phone (804) 514-2257
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
- Osteopathic Manipulative Medicine
- Education
- Liberty Univ College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000
935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268
Hospital & facility affiliations
- Lewisgale Medical Center
- Lewisgale Hospital Alleghany
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102207324 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Spring Physician Services, LLC | Current | Accepting new patients |
Locations
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
Interoperability endpoints
- richard.hargrove@hca6.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Salem, VA
- NPI 1568954287
-
- Physical Therapist
- Stanleytown, VA
- NPI 1487895348
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Low Moor, VA
- NPI 1285932962
-
- General Acute Care Hospital
- Low Moor, VA
- NPI 1538100029
-
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1124587324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16637 MLC LN",
"city": "ROCKVILLE",
"state": "VA",
"postal_code": "231461855",
"telephone_number": "804-514-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 ELECTRIC RD",
"city": "SALEM",
"state": "VA",
"postal_code": "241537474",
"telephone_number": "540-776-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGROVE",
"first_name": "RICHARD",
"middle_name": "STEWART ROBERTSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-18",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102207324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.