Michael Kevin David, DO
Individual provider Active NPI Family Medicine Physician · Martinsville, VA
NPI 1225568587 · NPPES record last updated Jun 23, 2020
Key facts
- NPI
- 1225568587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0102205571 (VA)
- Practice address
- 2696 Greensboro Rd
Martinsville, VA 24112-8106 - Phone
- (276) 638-7205
- Fax
- (276) 638-3389
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Privia Medical Group, LLC
Oandw Enterprises
Practice addresses (Care Compare)
100 College Dr
Martinsville, VA 24112-7588
Phone (276) 666-0500
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
Hospital & facility affiliations
- Amedisys Home Health Care
- Sovah Health Danville
- Carilion Franklin Memorial Hospital
- Unc Rockingham
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200730003856 | VA | Practitioner - Family Practice | 7618248303 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102205571 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Privia Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| Nova Physician Wellness Center PLLC | Family Medicine | Past | Accepting new patients |
Locations
8644 Sudley Rd
#220
Manassas, VA 20110
2696 Greensboro Rd
Martinsville, VA 24112
Phone (276) 638-7205
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- michael.david.1@8042.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116030465 | VA | |
| Family Medicine Physician | 207Q00000X | 0102205571 | VA | Yes |
Addresses
Primary practice location
2696 Greensboro Rd
Martinsville, VA 24112-8106
Mailing address
2696 Greensboro Rd
Martinsville, VA 24112-8106
Phone (276) 638-7205
Other providers in Martinsville, VA
- Danville Regional Medical Center LLC
- Danville Regional Medical Center LLC
- Danville Regional Medical Center, LLC
- David Graham M.D., LLC
- David W Roycroft MD Inc
- Desiree Davis
- John Jackson Davis
- Troy Anthony Davis
- Dayclinic
- Gregory S Deacon
All providers in Martinsville, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.