Active NPI
Richard Ackart, MD
- Pulmonary Disease Physician
- Williamsburg, VA
National Provider Identifier
1194710335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101026241
- Practice address
- 120 Kings Way
Suite 2200
Williamsburg, VA 23185 - Phone
- (757) 645-3460
- Fax
- (757) 645-3481
- NPI assigned
- Sep 14, 2005
- Last updated
- Sep 23, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101026241 | VA | |
| Pulmonary Disease Physician | 207RP1001X | 0101026241 | VA | Primary |
Addresses
Primary practice location
120 Kings Way
Suite 2200
Williamsburg, VA 23185
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194710335 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- rackart12029@direct.rivhs.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1194710335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD",
"address_2": "SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 KINGS WAY",
"address_2": "SUITE 2200",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "23185",
"telephone_number": "757-645-3460",
"fax_number": "757-645-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKART",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101026241",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101026241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194710335",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.