NPIMap

Individual provider Active NPI

Edward Rex Harkrader Sr., MD

  • Family Medicine Physician
  • Louisa, VA
National Provider Identifier
1558374249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101049739 Issued in VA
Practice address
101 Woolfolk Ave
Louisa, VA 23093
Phone
(540) 967-2202
Fax
(540) 967-1676
NPI assigned
Aug 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101049739 VA Primary

Addresses

Primary practice location

101 Woolfolk Ave
Louisa, VA 23093

Mailing address

101 Woolfolk Ave
Louisa, VA 23093
Phone (540) 967-2202

Other identifiers 1

IdentifierTypeStateIssuer
5613604MedicaidVA

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
I20100115000136 VA Practitioner - Family Practice 3870634652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisa Family Practice, PLCGroup PAC ID 9436290210, 2 clinicians

Practice addresses (Care Compare)

101 Woolfolk Avenue
Suite 201
Louisa, VA 23093-4264
Phone (540) 967-2202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.02 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Louisa Family Practice, PLC Family Medicine CurrentSince Jan 1, 1999 Accepting new patients

Locations

101 Woolfolk Ave
Louisa, VA 23093
Phone (540) 967-2202

101 Woolfolk Ave
Ste 201
Louisa, VA 23093
Phone (540) 967-2202

Interoperability endpoints

  • Direct secure messaging: edward.harkrader@4273.securemail.mdnavigatorclinical.com

Organizations & group practices 1

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 11

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558374249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WOOLFOLK AVE",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "23093",
            "telephone_number": "540-967-2202",
            "fax_number": "540-967-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WOOLFOLK AVE",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "23093",
            "telephone_number": "540-967-2202",
            "fax_number": "540-967-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKRADER",
        "first_name": "EDWARD",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101049739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5613604",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, VA

Sources for this page

Verify at the official NPI Registry.