Individual provider Active NPI

Alyson P Hartkopf, MD

  • Developmental - Behavioral Pediatrics Physician
  • Roanoke, VA
National Provider Identifier
1215941869
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
0101232896 Issued in VA
Practice address
4348 Electric Rd
Roanoke, VA 24018-0720
Phone
(540) 769-0976
Fax
(540) 857-5386
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 0101232896 VA Primary

Addresses

Primary practice location

4348 Electric Rd
Roanoke, VA 24018-0720

Mailing address

1030 S Jefferson St Ste 201
Roanoke, VA 24016-4418
Phone (540) 224-4520

Other practice location 1

2507 McCallie Ave
Chattanooga, TN 37404-3304
Phone (423) 624-8226

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahartkopf94868@direct.carilionclinic.org Direct

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
I20040514001170 VA Practitioner - Pediatric Medicine 4284624859 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101232896VAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jul 8, 2019 Accepting new patients
Carilion Medical Center CurrentSince Jul 8, 2019 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Past Accepting new patients
Minnie Vance Past Accepting new patients
Carilion Medical Center Past Accepting new patients
F Read Hopkins Pediatric Assoc Inc Pediatrics Past Accepting new patients
University of Virginia Physicians Group Past Accepting new patients

Locations

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

1030 S Jefferson St
Ste 201
Roanoke, VA 24016
Phone (540) 224-4520

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

1030 S Jefferson St
Ste 106
Roanoke, VA 24016
Phone (540) 343-4092

4348 Electric Rd
Roanoke, VA 24018
Phone (540) 769-0600

Interoperability endpoints

  • Direct secure messaging: ahartkopf94868@direct.carilionclinic.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215941869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S JEFFERSON ST STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164418",
            "telephone_number": "540-224-4520",
            "fax_number": "540-342-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180720",
            "telephone_number": "540-769-0976",
            "fax_number": "540-857-5386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2507 McCallie Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374043304",
            "country_code": "US",
            "telephone_number": "423-624-8226",
            "fax_number": "423-624-2246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTKOPF",
        "first_name": "ALYSON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-03-07",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "VA",
            "license": "0101232896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahartkopf94868@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ahartkopf94868@direct.carilionclinic.org",
            "address_1": "1030 S Jefferson St Ste 201",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.