NPIMap

Individual provider Active NPI

John D. Ferguson, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Charlottesville, VA
National Provider Identifier
1386786630
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
0101247421 Issued in VA
Practice address
Uva Primary Care Ctr
Lee Street, Ground Floor
Charlottesville, VA 22908-0001
Phone
(434) 924-5004
Fax
(434) 982-3776
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0109542027 VA
Clinical Cardiac Electrophysiology Physician 207RC0001X 0101247421 VA Primary

Addresses

Primary practice location

Uva Primary Care Ctr
Lee Street, Ground Floor
Charlottesville, VA 22908-0001

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other identifiers 1

IdentifierTypeStateIssuer
005876940MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181105003054 CO Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 8628086113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Practice addresses (Care Compare)

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (303) 498-1600

1610 Prairie Ctr Pkwy
Brighton, CO 80601-4003

1818 N Ogden St
Suite 400
Denver, CO 80218-1280
Phone (303) 318-2460

4859 Yampa St
Denver, CO 80249-7760
Phone (303) 498-1885

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101247421VAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2018 Accepting new patients
Intermountain Medical Group Denver, LLC Cardiovascular Disease Current Accepting new patients
Platte Valley Medical Group LLC CurrentSince Jan 1, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2018 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Rector & Visitors of the University of Virginia PastSince Jun 30, 2010 Accepting new patients

Locations

500 Eldorado Blvd
Ste 6300
Broomfield, CO 80021
Phone (303) 272-0803

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1818 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-2440

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

300 Exempla Cir
Lafayette, CO 80026
Phone (303) 427-1601

300 Exempla Cir
Ste 310
Lafayette, CO 80026
Phone (303) 272-0500

Organizations & group practices 6

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 12

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1386786630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UVA PRIMARY CARE CTR",
            "address_2": "LEE STREET, GROUND FLOOR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080001",
            "telephone_number": "434-924-5004",
            "fax_number": "434-982-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JOHN",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0109542027",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "VA",
            "license": "0101247421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005876940",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.