Active NPI
Alison C. Derbes, M.D.
- Diagnostic Radiology Physician
- Charlottesville, VA
National Provider Identifier
1376733063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101249510
- Practice address
- 107 S 1St St
Apartment 401
Charlottesville, VA 22902 - Phone
- (504) 439-0403
- NPI assigned
- Jul 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101249510 | VA | Primary |
Addresses
Primary practice location
107 S 1St St
Apartment 401
Charlottesville, VA 22902
Mailing address
107 S 1St St
Apartment 401
Charlottesville, VA 22902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101249510 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1376733063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S 1ST ST",
"address_2": "APARTMENT 401",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "22902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S 1ST ST",
"address_2": "APARTMENT 401",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "22902",
"telephone_number": "504-439-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERBES",
"first_name": "ALISON",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-28",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101249510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.