Active NPI
Adrienne L Gentry
- Obstetrics & Gynecology Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0102205233
- Practice address
- 1231 S Jefferson St
Roanoke, VA 24016-4705 - Phone
- (540) 985-8078
- Fax
- (540) 985-8085
- NPI assigned
- Mar 28, 2011
- Last updated
- Dec 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0102205233 | VA | Primary |
Addresses
Primary practice location
1231 S Jefferson St
Roanoke, VA 24016-4705
Mailing address
1231 S Jefferson St
Roanoke, VA 24016-4705
Phone (540) 985-8078
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agentry4524@direct.carilionclinic.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP296 | KY | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| North Florida Reproductive Medicine, LLC | Past | Accepting new patients | |
| Reproductive Medicine Associates, P.a. | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
401 E Chestnut St
Unit 410
Louisville, KY 40202
Phone (502) 271-5999
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Interoperability endpoints
- agentry4524@direct.carilionclinic.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
Obstetrics & Gynecology
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
dba ULP Gynecology
- Obstetrics & Gynecology Physician
- Louisville, KY
- NPI 1821363946
-
dba Florida Institute for Reproductive Medicine
- Reproductive Endocrinology Physician
- Jacksonville, FL
- NPI 1205397940
-
- Reproductive Endocrinology Physician
- Jacksonville, FL
- NPI 1013991587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1437458650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 S JEFFERSON ST",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164705",
"telephone_number": "540-985-8078",
"fax_number": "540-985-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 S JEFFERSON ST",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164705",
"telephone_number": "540-985-8078",
"fax_number": "540-985-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "ADRIENNE",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0102205233",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agentry4524@direct.carilionclinic.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "agentry4524@direct.carilionclinic.org",
"address_1": "1231 S Jefferson St",
"city": "Roanoke",
"state": "VA",
"country_code": "US",
"postal_code": "240164705",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.