Active NPI
Lovetta Pugh, MD
- Surgery Physician
- South Boston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101237158
- 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, 2016
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010110041 | Medicaid | VA | |
| 153791 | Other | VA | BCBS |
| 90968 | Other | OPTIMA |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.02 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101237158 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominion Health Medical Associates LTD | Current | Accepting new patients | |
| Dominion Health Medical Assoc. | Current | Accepting new patients | |
| Dominion Health Medical Assoc | Current | 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
- 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.
-
dba Sentora Halifax General Surgery
- Ambulatory Surgical Clinic/Center
- South Boston, VA
- NPI 1255771770
-
dba Sentara Cardiology Specialists
- Cardiovascular Disease Physician
- South Boston, VA
- NPI 1356138879
-
dba Sentara Behavioral Health Specialists
- Community/Behavioral Health Agency
- South Boston, VA
- NPI 1215411483
-
- General Practice Physician
- Charlotte, NC
- NPI 1477627388
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
- Carlos Alberto Pottinger, M.D.
- Priscilla Guill Powell, COTA
- James H Priest
- Grace A. Prudom, LCSW
- Ronald Pryor
- Pulmonary Associates of Southside Virginia, Inc
- Edward Sanford Purvis II, M.D.
- Kortney Nicole Puryear, COTA/L
- RB Hughes Drug Inc (Halifax LTC Pharmacy)
- Reflections Behavioral Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.