Individual provider Active NPI

Louis Christian Alexander Skidmore, M.D.

  • Vascular & Interventional Radiology Physician
  • Fredericksburg, VA
National Provider Identifier
1457770448
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101269167 Issued in VA
Practice address
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone
(540) 741-1100
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101269167 VA Primary

Addresses

Primary practice location

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Mailing address

10401 Spotsylvania Ave Ste 200
Fredericksburg, VA 22408-8606
Phone (540) 361-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200608000260 VA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7416262290 Reassigns benefits to 6 organizations
I20250828001935 DC Practitioner - Interventional Radiology 7416262290 Reassigns benefits to 2 organizations
I20260507002681 NC Practitioner - Interventional Radiology 7416262290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologic Associates of Fredericksburg LTD 69 clinicians
Meritus Medical Center Inc 730 clinicians
Medical Imaging of Fredericksburg, LLC 34 clinicians
Unc Physicians Network LLC 985 clinicians
Dominion Imaging LLC 45 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1571

10401 Spotsylvania Ave
Suite 207
Fredericksburg, VA 22408-8606
Phone (301) 790-8000

11809 Henderson Rd
Clifton, VA 20124-2208
Phone (540) 361-1000

1201 Sam Perry Blvd
Suite 102
Fredericksburg, VA 22401-4490
Phone (540) 741-7025

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 443-8000

3799 Glenbrook Rd
Fairfax, VA 22031-3128
Phone (540) 361-1000

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-8121

Hospital & facility affiliations

  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132
  • Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147
  • Person Memorial Hospital Hospital, Roxboro, NC, CCN 340159

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal38
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc CurrentSince Oct 18, 2025 Accepting new patients
Radiologic Associates of Fredericksburg LTD CurrentSince Jul 1, 2025 Accepting new patients
Medical Imaging of Fredericksburg, LLC CurrentSince Jul 1, 2020 Accepting new patients
Medical Imaging of Fredericksburg, LLC Current Accepting new patients
Medical Imaging of Fredericksburg, LLC CurrentSince Jul 1, 2020 Accepting new patients
Chesapeake Radiologists LTD CurrentSince Oct 19, 2024 Accepting new patients
Radiologic Associates of Fredericksburg LTD CurrentSince Jul 1, 2020 Accepting new patients
Centra Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Centra Health Professional Services,LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations (25 of 34)

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1805 W City Dr
Ste H
Elizabeth City, NC 27909
Phone (252) 334-1602

1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 335-4890

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

1021 Eden Way N
Ste 109
Chesapeake, VA 23320
Phone (757) 312-6267

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746

648 Grassfield Pkwy
Ste 1
Chesapeake, VA 23322
Phone (757) 312-6797

1464 Mount Pleasant Rd
Ste 13
Chesapeake, VA 23322
Phone (757) 410-4580

10401 Spotsylvania Ave
Ste 200
Fredericksburg, VA 22408
Phone (540) 842-6884

4900 Plank Rd
#101
Fredericksburg, VA 22407
Phone (540) 741-0679

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

5501 Plank Rd
#100
Fredericksburg, VA 22407
Phone (540) 741-3190

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

10 Stafford Lakes Pkwy
Ste 102
Fredericksburg, VA 22406
Phone (540) 737-6144

1201 Sam Perry Blvd
Ste 102
Fredericksburg, VA 22401
Phone (540) 741-7025

10401 Spotsylvania Ave
Ste 103
Fredericksburg, VA 22408
Phone (540) 741-0555

10401 Spotsylvania Ave
Ste 207
Fredericksburg, VA 22408

1300 Hospital Dr
Ste 100
Fredericksburg, VA 22401
Phone (540) 741-3250

5501 Plank Rd
Ste 101
Fredericksburg, VA 22407
Phone (540) 741-3189

10401 Spotsylvania Ave
Ste 203
Fredericksburg, VA 22408
Phone (540) 654-9118

306 E 6th Ave
Kenbridge, VA 23944
Phone (434) 676-8021

11131 Journal Pkwy
Ste A
King George, VA 22485
Phone (540) 709-5173

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.105545
  • Direct secure messaging: skidmore@viva.gwaydirect.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 8

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1457770448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 SPOTSYLVANIA AVE STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088606",
            "telephone_number": "540-361-1000",
            "fax_number": "540-361-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-741-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "LOUIS",
        "middle_name": "CHRISTIAN ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101269167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.