Individual provider Active NPI

Eva Otoupalova, MD

  • Pulmonary Disease Physician
  • Charlottesville, VA
National Provider Identifier
1538575519
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101279096 Issued in VA
Practice address
1215 Lee St
Charlottesville, VA 22908-6712
Phone
(434) 924-2409
Fax
(434) 982-4429
NPI assigned
Jul 10, 2014
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36159 AL
Internal Medicine Physician 207R00000X 0101279096 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101279096 VA
Pulmonary Disease Physician 207RP1001X 0101279096 VA Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-6712

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

501 Sunset Ln
Culpeper, VA 22701-3917
Phone (540) 829-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, LA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230829003934 VA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0345466850 Reassigns benefits to 1 organization
I20240628002089 LA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0345466850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Aug 11, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 15, 2024 Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Jul 15, 2024 Accepting new patients
Louisiana Department of Health - Office of Public Health Current Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Jul 15, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 15, 2024 Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

1029 Capitol Ave
Crowley, LA 70526
Phone (337) 788-7507

1855 Ames Blvd
Marrero, LA 70072
Phone (504) 328-0488

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1676 Gravier St
New Orleans, LA 70112
Phone (504) 568-8733

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

517 N Rampart St
New Orleans, LA 70112
Phone (504) 658-2540

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

Interoperability endpoints

  • Direct secure messaging: eva.otoupalova.1@20955.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1538575519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229086712",
            "telephone_number": "434-924-2409",
            "fax_number": "434-982-4429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013917",
            "country_code": "US",
            "telephone_number": "540-829-4100",
            "fax_number": "540-829-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTOUPALOVA",
        "first_name": "EVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "36159",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101279096",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101279096",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101279096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.