Individual provider Active NPI

Lovetta Pugh, MD

  • Surgery Physician
  • South Boston, VA
National Provider Identifier
1407824527
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101237158 Issued in VA
Practice address
2232 Wilborn Ave
South Boston, VA 24592-1630
Phone
(434) 572-8921
Fax
(434) 572-2063
NPI assigned
Mar 14, 2006
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101237158 VA Primary

Addresses

Primary practice location

2232 Wilborn Ave
South Boston, VA 24592-1630

Mailing address

P.O. Box 860
South Boston, VA 24592-1630
Phone (434) 572-8921

Other identifiers 3

IdentifierTypeStateIssuer
010110041MedicaidVA
153791OtherVABCBS
90968OtherOPTIMA

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
I20041229000571 VA Practitioner - General Surgery 1254302946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.02 of 100Reported as group
Quality
66.66
Promoting interoperability
100
Improvement activities
40
Cost
90.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101237158VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Health Medical Associates LTD CurrentSince Sep 1, 2013 Accepting new patients
Dominion Health Medical Assoc. Current Accepting new patients
Dominion Health Medical Assoc CurrentSince Sep 1, 2013 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients

Locations

946 N Main St
Chase City, VA 23924
Phone (434) 372-5141

2212 Wilborn Ave
South Boston, VA 24592
Phone (434) 572-8921

2232 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3539

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

Interoperability endpoints

  • Direct secure messaging: lpugh528386@direct.sentara.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1407824527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 860",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921630",
            "telephone_number": "434-572-8921",
            "fax_number": "434-572-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921630",
            "telephone_number": "434-572-8921",
            "fax_number": "434-572-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "LOVETTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101237158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010110041",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "153791",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "90968",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.