Patrick L Neustatter, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101039127 Issued in VA

Practice address

1301 Sam Perry Blvd
Fredericksburg, VA 22401

Phone

(540) 741-1061

Fax

(540) 741-1096

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Fredericksburg Area Regional Health Council

  • Primary Care Clinic/Center
  • Fredericksburg, VA
  • NPI 1225358930
  NPD (past)
• Lloyd F. Moss Free Clinic

  • Health Service Clinic/Center
  • Fredericksburg, VA
  • NPI 1487089512
  NPD (past)
• Pratt Medical Center LTD

  • Clinical Medical Laboratory
  • Fredericksburg, VA
  • NPI 1003840950
  NPD (past)
• Pratt Medical Center LTD

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1316973555
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1144290388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018420",
            "telephone_number": "540-741-1061",
            "fax_number": "540-741-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-741-1061",
            "fax_number": "540-741-1096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "392 Garrisonville Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541500",
            "country_code": "US",
            "telephone_number": "540-659-2111",
            "fax_number": "540-659-1634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "392 Garrisonville Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541500",
            "country_code": "US",
            "telephone_number": "540-659-2111",
            "fax_number": "540-659-1634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUSTATTER",
        "first_name": "PATRICK",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101039127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0898100",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005636973",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "285302",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "4092057",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "82929",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0101039127",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD GROUP",
            "identifier": "CA9037",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CAP",
            "identifier": "00090768",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "CO2375",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neurofeedback and Brain Fitness Center, LLC
• Neurology Associates of Central Virginia LLC
• Neurology Associates of Fredericksburg
• Neuropsychology & Complementary Medicine Inc
• Neuropsychology & Complementary Medicine Inc.
• Michele Neverdon, LPC, CCTP
• Hilary Lyn Snyder Neves, M.D.
• New Beginings Stress - Free Center
• New Beginnings OB GYN PC
• New Century Hospice of Richmond, LLC

• Family Medicine Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.