Individual provider Active NPI

Carrie Marie Peltz, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • North Chesterfield, VA
National Provider Identifier
1265691109
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
0101246748 Issued in VA
Practice address
1000 Boulders Pkwy Ste 102
North Chesterfield, VA 23225-5515
Phone
(804) 320-4243
Fax
(804) 622-0552
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.093087 OH
Pulmonary Disease Physician 207RP1001X 0101246748 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101246748 VA Primary

Addresses

Primary practice location

1000 Boulders Pkwy Ste 102
North Chesterfield, VA 23225-5515

Mailing address

1000 Boulders Pkwy Ste 102
North Chesterfield, VA 23225-5515
Phone (804) 320-4243

Other identifiers 1

IdentifierTypeStateIssuer
3023767MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carriepeltz@par.allscriptsdirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000314 VA Practitioner - Internal Medicine 9234270182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Associates of Richmond IncGroup PAC ID 8123095577, 49 clinicians

Practice addresses (Care Compare)

1000 Boulders Pkwy
North Chesterfield, VA 23225-5515

2354 Colony Crossing PL
Midlothian, VA 23112-4280
Phone (804) 639-9910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.54 of 100Reported as group
Quality
71.96
Promoting interoperability
99
Improvement activities
40
Cost
77.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.093087OHMDInternal Medicine Physician
0101246748VAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vibra Physicians LLC CurrentSince Sep 1, 2013 Accepting new patients
Pulmonary Associates of Richmond Inc CurrentSince Aug 1, 2013 Accepting new patients
Commonwealth Infectious Diseases, LLC Past Accepting new patients

Locations

5 E River Park Pl E
Ste 460
Fresno, CA 93720

2354 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 288-6261

1000 Boulders Pkwy
North Chesterfield, VA 23225
Phone (800) 323-7575

1000 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 601-0609

1000 Boulders Pkwy
Ste 102
North Chesterfield, VA 23225
Phone (804) 591-3134

1000 Boulders Pkwy
Ste 201
North Chesterfield, VA 23225
Phone (804) 591-3134

2025 Waterside Rd
Prince George, VA 23875

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

6600 W Broad St
Ste 300
Richmond, VA 23230
Phone (804) 591-3134

Interoperability endpoints

  • Direct secure messaging: carriepeltz@par.allscriptsdirect.net

Organizations & group practices 3

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 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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1265691109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOULDERS PKWY STE 102",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255515",
            "telephone_number": "804-320-4243",
            "fax_number": "804-622-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BOULDERS PKWY STE 102",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255515",
            "telephone_number": "804-320-4243",
            "fax_number": "804-622-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZ",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.093087",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101246748",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101246748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3023767",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carriepeltz@par.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1000 Boulders Pkwy Ste 102",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232255515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.