Individual provider Active NPI

Austin Ellerbe Peat, MD

  • Diagnostic Radiology Physician
  • Richmond, VA
National Provider Identifier
1356548796
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101251103 Issued in VA
Practice address
2810 N Parham Rd Ste 315
Richmond, VA 23294-4424
Phone
(804) 288-8327
Fax
(804) 282-3744
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116019471 VA
Diagnostic Radiology Physician 2085R0202X 0101251103 VA Primary

Addresses

Primary practice location

2810 N Parham Rd Ste 315
Richmond, VA 23294-4424

Mailing address

2810 N Parham Rd Ste 315
Richmond, VA 23294-4424
Phone (804) 288-8327

Other identifiers 3

IdentifierTypeStateIssuer
224564OtherVAANTHEM
P01200810OtherVAMEDICARE R/R
1356548796MedicaidVA

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
I20120807000557 VA Practitioner - Diagnostic Radiology 8123274115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Radiology PCGroup PAC ID 9830142496, 52 clinicians

Practice addresses (Care Compare)

8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (804) 288-8327

Hospital & facility affiliations

  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067

Merit-based Incentive Payment System (MIPS)

Final score
89.43 of 100Reported as group
Quality
96.22
Improvement activities
40
Cost
71.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101251103VAMDDiagnostic Radiology Physician
0116019471VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Radiology P C Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
MCV Associated Physicians Diagnostic Radiology PastSince Sep 28, 2021 Accepting new patients

Locations (25 of 32)

306 Ashcake Rd
Ste C
Ashland, VA 23005
Phone (804) 798-2908

920 S Main St
Blackstone, VA 23824
Phone (434) 292-7261

281 E Hundred Rd
Chester, VA 23836
Phone (804) 452-1635

436 Clairmont Ct
Ste 101
Colonial Heights, VA 23834
Phone (804) 504-4631

439 Jennick Dr
Colonial Hgts, VA 23834
Phone (804) 504-7937

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

7041 Lee Park Rd
Mechanicsvlle, VA 23111
Phone (804) 723-3337

13700 St Francis Blvd
Ste 305
Midlothian, VA 23114
Phone (804) 320-2483

601 Watkins Centre Pkwy
Ste 150
Midlothian, VA 23114
Phone (804) 893-8484

13540 Hull Street Rd
Midlothian, VA 23112
Phone (804) 595-1400

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

210 Medical Park Blvd
Ste 150
Petersburg, VA 23805
Phone (804) 765-5206

210 Medical Park Blvd
Ste 275
Petersburg, VA 23805
Phone (804) 765-5886

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

1501 Maple Ave
Ste 103
Richmond, VA 23226

4630 S Laburnum Ave
Ste C
Richmond, VA 23231
Phone (804) 226-2444

12320 W Broad St
Richmond, VA 23233
Phone (513) 752-8000

4620 S Laburnum Ave
Richmond, VA 23231
Phone (804) 226-2444

2201 Grove Ave
Richmond, VA 23220
Phone (804) 359-1351

5875 Bremo Rd
Ste 105
Richmond, VA 23226
Phone (804) 287-7501

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1356548796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N PARHAM RD STE 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944424",
            "telephone_number": "804-288-8327",
            "fax_number": "804-282-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N PARHAM RD STE 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944424",
            "telephone_number": "804-288-8327",
            "fax_number": "804-282-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAT",
        "first_name": "AUSTIN",
        "middle_name": "ELLERBE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116019471",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101251103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "224564",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE R/R",
            "identifier": "P01200810",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356548796",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.