Individual provider Active NPI

Steven Andrew Tatar, MD

  • Internal Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1609839950
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101024772 Issued in VA
Practice address
1011 E Jefferson St Ste 202
Charlottesville, VA 22902
Phone
(434) 654-2800
Fax
(434) 979-3157
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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 0101024772 VA Primary

Addresses

Primary practice location

1011 E Jefferson St Ste 202
Charlottesville, VA 22902

Mailing address

PO Box 79777
Baltimore, MD 21279-0777
Phone (434) 654-2800

Other practice location 1

1011 East Jefferson Street
Suite 202
Charlottesville, VA 22902-5354
Phone (434) 977-7950

Other practice location 2

1011 East Jefferson Street
Suite 202
Charlottesville, VA 22902-5354
Phone (434) 977-7950

Other identifiers 2

IdentifierTypeStateIssuer
014420OtherVABCBS
006051372MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: statar246400@direct.sentara.net

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1609839950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79777",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790777",
            "telephone_number": "434-654-2800",
            "fax_number": "434-979-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E JEFFERSON ST STE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22902",
            "telephone_number": "434-654-2800",
            "fax_number": "434-979-3157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 East Jefferson Street",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229025354",
            "country_code": "US",
            "telephone_number": "434-977-7950",
            "fax_number": "434-295-4470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 East Jefferson Street",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229025354",
            "country_code": "US",
            "telephone_number": "434-977-7950",
            "fax_number": "434-295-4470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATAR",
        "first_name": "STEVEN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101024772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "014420",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006051372",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.