Active NPI
Victoria Lee Vastine, M.D.
- Plastic and Reconstructive Surgery Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 0101057657
- Practice address
- 595 Martha Jefferson Dr Ste 280
Charlottesville, VA 22911-4669 - Phone
- (434) 654-8920
- Fax
- (434) 654-8921
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 0101057657 | VA | Primary |
Addresses
Primary practice location
595 Martha Jefferson Dr Ste 280
Charlottesville, VA 22911-4669
Mailing address
PO Box 79777
Baltimore, MD 21279-0777
Phone (434) 654-7794
Other names 1
- Victoria Lee Vastine-Folger
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
- Plastic and Reconstructive Surgery
- Education
- University of Virginia School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
595 Martha Jefferson Dr
Suite 280
Charlottesville, VA 22911-4669
Phone (434) 654-8920
Hospital & facility affiliations
- Sentara Martha Jefferson Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 26 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha Jefferson Medical Group LLC | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Commonwealth Orthopedic Specialist | Past | Accepting new patients | |
| Martha Jefferson Hospital | Past | Accepting new patients |
Locations
595 Martha Jefferson Dr
Ste 280
Charlottesville, VA 22911
Phone (434) 654-8920
595 Martha Jefferson Dr
#280
Charlottesville, VA 22911
600 Peter Jefferson Pkwy
Ste 270
Charlottesvle, VA 22911
Phone (434) 654-8920
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
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.
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
-
- Specialist
- Richmond, VA
- NPI 1538385059
-
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
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": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1174587141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79777",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212790777",
"telephone_number": "434-654-7794",
"fax_number": "434-654-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 MARTHA JEFFERSON DR STE 280",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229114669",
"telephone_number": "434-654-8920",
"fax_number": "434-654-8921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASTINE",
"first_name": "VICTORIA",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "VA",
"license": "0101057657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "VASTINE-FOLGER",
"middle_name": "LEE",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Jan 9, 2018; 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.