Active NPI
Louis Christian Alexander Skidmore, M.D.
- Vascular & Interventional Radiology Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 0101269167
- 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
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 |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200608000260 | VA | Practitioner - Interventional 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 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 LTDMeritus Medical Center IncMedical Imaging of Fredericksburg, LLCUnc Physicians Network LLCDominion Imaging LLC
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
- Chesapeake General Hospital
- Maria Parham Medical Center
- Unc Health Nash
- Person Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 38 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Radiologic Associates of Fredericksburg LTD | Current | Accepting new patients | |
| Medical Imaging of Fredericksburg, LLC | Current | Accepting new patients | |
| Medical Imaging of Fredericksburg, LLC | Current | Accepting new patients | |
| Medical Imaging of Fredericksburg, LLC | Current | Accepting new patients | |
| Chesapeake Radiologists LTD | Current | Accepting new patients | |
| Radiologic Associates of Fredericksburg LTD | Current | Accepting new patients | |
| Centra Medical Group, LLC | Current | Accepting new patients | |
| Centra Health Professional Services,LLC | Current | 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
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.105545
- 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.
-
- Diagnostic Radiology Physician
- Fredericksburg, VA
- NPI 1699711093
DC, VA
-
- Radiology Clinic/Center
- Stafford, VA
- NPI 1336386366
-
- Nurse Practitioner
- Hagerstown, MD
- NPI 1205176393
-
- Community/Retail Pharmacy
- Hagerstown, MD
- NPI 1306623616
-
- Community/Retail Pharmacy
- Hagerstown, MD
- NPI 1649949439
-
- Rehabilitation Clinic/Center
- Hagerstown, MD
- NPI 1659391068
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
Hospital
-
- General Acute Care Hospital
- Henderson, NC
- NPI 1164707725
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; 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.