NPIMap

Individual provider Active NPI

Abdul-Latief Almatari, MD

  • Internal Medicine Physician
  • Pennington Gap, VA
National Provider Identifier
1477525160
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101224512 Issued in VA
Practice address
602 W Morgan Ave
Suite 3
Pennington Gap, VA 24277-2036
Phone
(276) 546-5310
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101224512 VA Primary

Addresses

Primary practice location

602 W Morgan Ave
Suite 3
Pennington Gap, VA 24277-2036

Mailing address

276 Fieldstone Dr
Jonesville, VA 24263-1215
Phone (276) 546-5310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000256 VA Practitioner - Internal Medicine 4082808191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Charles Health Council IncGroup PAC ID 0244124584, 10 clinicians

Practice addresses (Care Compare)

276 Fieldstone Dr
Jonesville, VA 24263-1215
Phone (276) 546-3001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health Council Inc Current Accepting new patients
St Charles Health Council Inc CurrentSince Dec 3, 2001 Accepting new patients
St. Charles Health Council Inc CurrentSince Dec 3, 2001 Accepting new patients
St. Charles Health Council, Inc Past Accepting new patients

Locations

276 Fieldstone Dr
Jonesville, VA 24263
Phone (276) 546-3001

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1477525160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 FIELDSTONE DR",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242631215",
            "telephone_number": "276-546-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W MORGAN AVE",
            "address_2": "SUITE 3",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772036",
            "telephone_number": "276-546-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMATARI",
        "first_name": "ABDUL-LATIEF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101224512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington Gap, VA

Sources for this page

Verify at the official NPI Registry.