Active NPI
Alyson P Hartkopf, MD
- Developmental - Behavioral Pediatrics Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 0101232896
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101232896 | VA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
dba Carilion Clinic - DME - Westlake
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
dba Carilion Roanoke Memorial Hospital
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Pediatrics Physician
- Lynchburg, VA
- NPI 1215943030
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Specialist
- Chattanooga, TN
- NPI 1811154412
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
-
- Emergency Medicine Physician
- Eatonton, GA
- NPI 1992763627
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.