Active NPI
Trudy Ann Kantra, DO
- Pulmonary Disease Physician
- Christiansburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0102202437
- Practice address
- 2900 Lamb Cir
Christiansburg, VA 24073-6344 - Phone
- (540) 731-2000
- NPI assigned
- Jun 3, 2006
- Last updated
- Feb 12, 2020
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS007733L | PA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 200401642 | NC | |
| Pulmonary Disease Physician | 207RP1001X | 200401642 | NC | |
| Pulmonary Disease Physician | 207RP1001X | 0102202437 | VA | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 200401642 | NC |
Addresses
Primary practice location
2900 Lamb Cir
Christiansburg, VA 24073-6344
Mailing address
2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Philadelphia College of Osteopathic Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS007733L | PA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Medical Center | Current | Accepting new patients | |
| Adfinitas Health at Fauquier, LLC | Current | Accepting new patients | |
| Anacostia Medical Associates | Critical Care Medicine | Current | Accepting new patients |
| Winchester Medical Center | Critical Care Medicine | Current | Accepting new patients |
| Pulmonary and Critical Care Consultants, PLLC | Pulmonary Disease | Past | Accepting new patients |
| Fryecare Physicians , LLC | Critical Care Medicine | Past | Accepting new patients |
| Fryecare Physicians , LLC | Pulmonary Disease | Past | Accepting new patients |
Locations
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
Organizations & group practices 7
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Hagerstown, MD
- NPI 1376973362
-
- Hospitalist Physician
- Warrenton, VA
- NPI 1225558109
-
dba Valley Intensivists
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
-
dba Valley Health Pediatrics Department of Winchester Medical Center
- Pediatrics Physician
- Winchester, VA
- NPI 1013874742
-
dba FryeCare Physicians
- Pulmonary Disease Physician
- Hickory, NC
- NPI 1376684076
Critical Care Medicine
-
- Pulmonary Disease Physician
- Hickory, NC
- NPI 1659774503
-
- Pulmonary Disease Physician
- Lansing, MI
- NPI 1366530461
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1386682029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 LAMB CIR",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736344",
"telephone_number": "540-731-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 LAMB CIR",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736344",
"telephone_number": "540-731-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTRA",
"first_name": "TRUDY",
"middle_name": "ANN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "PA",
"license": "OS007733L",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "200401642",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "200401642",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0102202437",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NC",
"license": "200401642",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.