Active NPI
Clifford P. Culpepper, M.D.
- Nephrology Physician
- Roanoke, VA
National Provider Identifier
1225036502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 0101031211
- Practice address
- 2602 Franklin Rd SW
Roanoke, VA 24014-1010 - Phone
- (540) 344-1400
- Fax
- (540) 344-7133
- NPI assigned
- Jul 12, 2005
- Last updated
- Apr 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 0101031211 | VA | Primary |
Addresses
Primary practice location
2602 Franklin Rd SW
Roanoke, VA 24014-1010
Mailing address
2602 Franklin Rd SW
Roanoke, VA 24014-1010
Phone (540) 344-1400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6036651 | Medicaid | VA | |
| CG1162 | Other | VA | RR MEDICARE GROUP |
| CU0651712 | Other | WV | WEST VA MEDICARE LEGACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1225036502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 FRANKLIN RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141010",
"telephone_number": "540-344-1400",
"fax_number": "540-344-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 FRANKLIN RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141010",
"telephone_number": "540-344-1400",
"fax_number": "540-344-7133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULPEPPER",
"first_name": "CLIFFORD",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "VA",
"license": "0101031211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6036651",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CG1162",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VA MEDICARE LEGACY",
"identifier": "CU0651712",
"state": "WV"
}
],
"endpoints": [],
"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 Apr 12, 2016; 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.