Individual provider Active NPI

Jon D Cargo, MD

  • Internal Medicine Physician
  • Salem, VA
National Provider Identifier
1205804754
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101-231473 Issued in VA
Practice address
1900 Electric Rd
Salem, VA 24153-7474
Phone
(540) 776-4000
Fax
(540) 776-2083
NPI assigned
Mar 10, 2006
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101-231473 VA Primary

Addresses

Primary practice location

1900 Electric Rd
Salem, VA 24153-7474

Mailing address

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

Other identifiers 3

IdentifierTypeStateIssuer
010253004MedicaidVA
010254370MedicaidVA
1205804754MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040124000077 VA Practitioner - Internal Medicine 1951203454 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1802 Braeburn Dr
Salem, VA 24153-7357

213 S Jefferson St
Suite 625
Roanoke, VA 24011-1712

213 S Jefferson St
Suite 625
Roanoke, VA 24011-1713

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101-231473VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jul 8, 2016 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jun 6, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jun 6, 2020 Accepting new patients
Carilion Giles Community Hospital Current Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 8, 2016 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 8, 2016 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jun 6, 2020 Accepting new patients
Carilion Medical Center CurrentSince Jul 8, 2016 Accepting new patients
Apogee Medical Group Virginia, PC Internal Medicine CurrentSince May 29, 2011 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jun 6, 2020 Accepting new patients
Danville Regional Medical Center, LLC Past Accepting new patients
Salem Hospitalists LLC Internal Medicine Past Accepting new patients
Atlantic General Hospital Corporation Internal Medicine Past Accepting new patients

Locations

2900 Lamb Cir
Ste 301
Christiansburg, VA 24073
Phone (540) 731-2328

2900 Lamb Cir
Ste 7700B
Christiansburg, VA 24073
Phone (540) 731-7450

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

1107 Brookdale St
Martinsville, VA 24112
Phone (276) 634-0005

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

102 Highland Ave SE
Ste 305
Roanoke, VA 24013
Phone (540) 985-9832

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

390 S Main St
Ste 1
Rocky Mount, VA 24151
Phone (540) 484-4836

390 S Main St
Ste 201
Rocky Mount, VA 24151
Phone (540) 484-4800

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: jcargo11313@direct.carilionclinic.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1205804754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ELECTRIC RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537474",
            "telephone_number": "540-776-4000",
            "fax_number": "540-776-2083"
        },
        {
            "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",
            "fax_number": "540-776-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARGO",
        "first_name": "JON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101-231473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010253004",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010254370",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205804754",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.