NPIMap

Individual provider Active NPI

Cathleen G Callahan, MD

  • Obstetrics & Gynecology Physician
  • Blacksburg, VA
National Provider Identifier
1235308354
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101238491 Issued in VA
Practice address
2265 Kraft Dr
Blacksburg, VA 24060-6360
Phone
(540) 231-0915
Fax
(540) 231-5367
NPI assigned
Feb 22, 2008
Last updated
Jan 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101238491 VA Primary

Addresses

Primary practice location

2265 Kraft Dr
Blacksburg, VA 24060-6360

Mailing address

2265 Kraft Dr
Blacksburg, VA 24060-6360

Other names 1

  • Dr. Cathleen G Callahan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080627000148 VA Practitioner - Obstetrics/Gynecology 6800832981 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Free Clinic of the New River Valley IncGroup PAC ID 5294963666, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

215 Roanoke St
Christiansburg, VA 24073-3025
Phone (540) 381-0820

219 Buchanan St
Pearisburg, VA 24134-1901
Phone (540) 381-0820

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238491VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Free Clinic of the New River Valley Inc CurrentSince Jan 6, 2014 Accepting new patients
Free Clinic of the New River Valley Inc CurrentSince Sep 28, 2014 Accepting new patients
Free Clinic of the New River Valley Inc. CurrentSince Sep 28, 2014 Accepting new patients
Free Clinic of the New River Valley, Inc CurrentSince Jan 6, 2014 Accepting new patients

Locations

215 Roanoke St
Christiansburg, VA 24073
Phone (540) 381-0820

5826 Ruebush Rd
Dublin, VA 24084
Phone (540) 381-0820

219 Buchanan St
Pearisburg, VA 24134
Phone (540) 381-0820

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pulaski ClinicDublin, VA, CCN 491953 Federally qualified health center Corporate Director Feb 1, 2020
Giles High School Service SitePearisburg, VA, CCN 491989 Federally qualified health center Corporate Director Jan 10, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1235308354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 KRAFT DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 KRAFT DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606360",
            "telephone_number": "540-231-0915",
            "fax_number": "540-231-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "CATHLEEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101238491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHLEEN",
            "last_name": "CALLAHAN",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.