Individual provider Active NPI

Lucia Maria Kulhavy, PA-C

  • Medical Physician Assistant
  • Roanoke, VA
National Provider Identifier
1225099773
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110002394 Issued in VA
Practice address
2013 Jefferson St SW FL 2
Roanoke, VA 24014-2419
Phone
(540) 982-0237
Fax
(540) 982-2719
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 102771 NC
Medical Physician Assistant 363AM0700X 0110002394 VA Primary

Addresses

Primary practice location

2013 Jefferson St SW FL 2
Roanoke, VA 24014-2419

Mailing address

2013 Jefferson St SW FL 2
Roanoke, VA 24014-2419
Phone (540) 982-0237

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070212000223 VA Practitioner - Physician Assistant 8527069731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1900 Electric Rd
Blue Ridge Cancer Care
Salwm, VA 24153-7474
Phone (540) 774-8660

2013 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 982-0237

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102771NCMDMedical Physician Assistant
0110002394VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology and Hematology Associates of Southwest Virginia, Inc. CurrentSince Dec 11, 2006 Accepting new patients

Locations

1710 Whitfield Dr
Bedford, VA 24523
Phone (540) 586-0636

1 Arh Ln
Ste 300
Low Moor, VA 24457
Phone (540) 862-6223

2013 Jefferson St SW
Fl 2
Roanoke, VA 24014
Phone (540) 982-0237

2013 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7377

390 S Main St
Ste 103
Rocky Mount, VA 24151
Phone (540) 483-7933

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

1995 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-1983

Interoperability endpoints

  • Direct secure messaging: lucia.kulhavy@brcc.ikm.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225099773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 JEFFERSON ST SW FL 2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142419",
            "telephone_number": "540-982-0237",
            "fax_number": "540-982-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 JEFFERSON ST SW FL 2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142419",
            "telephone_number": "540-982-0237",
            "fax_number": "540-982-2719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULHAVY",
        "first_name": "LUCIA",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102771",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.