NPIMap

Individual provider Active NPI

Emily Kluball, M.D.

  • Family Medicine Physician
  • Chester, VA
National Provider Identifier
1326571092
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101266972 Issued in VA
Practice address
11601 Iron Bridge Rd Ste 117
Chester, VA 23831-1467
Phone
(804) 717-5300
NPI assigned
Apr 9, 2017
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101266972 VA Primary

Addresses

Primary practice location

11601 Iron Bridge Rd Ste 117
Chester, VA 23831-1467

Mailing address

11601 Iron Bridge Rd Ste 117
Chester, VA 23831-1467
Phone (804) 717-5300

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
I20200812003429 VA Practitioner - Family Practice 5395019129 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians

Practice addresses (Care Compare)

1508 K V Rd
Victoria, VA 23974-2624
Phone (434) 696-2165

6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 302-4589

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101266972VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St. Francis Medical Center LLC CurrentSince Aug 30, 2020 Accepting new patients
Southern Dominion Health System, Inc. Family Medicine Current Accepting new patients
Bon Secours St. Francis Medical Center LLC Current Accepting new patients
Southern Dominion Health System, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Bon Secours Medical Group Richmond Primary Care LLC Family Medicine CurrentSince Nov 17, 2024 Accepting new patients
Bon Secours St. Francis Medical Center LLC CurrentSince Aug 30, 2020 Accepting new patients
Southern Dominion Health System, Inc. Past Accepting new patients
Southern Dominion Health System, Inc. Past Accepting new patients
Southern Dominion Health System, Inc. Past Accepting new patients

Locations

8920 Otterburn Rd
Amelia Ct Hse, VA 23002
Phone (804) 288-8838

11601 Iron Bridge Rd
Ste 117
Chester, VA 23831
Phone (804) 521-9301

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

2500 Pocoshock Pl
Ste 201
North Chesterfield, VA 23235
Phone (804) 276-9305

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

1508 K V Rd
Victoria, VA 23974
Phone (434) 696-2165

Interoperability endpoints

  • Direct secure messaging: emily.kluball@hca6.eclinicaldirectplus.com
  • Direct secure messaging: emily.kluball@sdhs.directbygreenway.com

Organizations & group practices 9

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1326571092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD STE 117",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311467",
            "telephone_number": "804-717-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD STE 117",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311467",
            "telephone_number": "804-717-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUBALL",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101266972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.