Active NPI
Carl William Hartman, MD
- Cardiovascular Disease Physician
- Chesapeake, VA
National Provider Identifier
1619942232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101026391
- Practice address
- 612 Kingsborough SQ
Suite 100
Chesapeake, VA 23320-5041 - Phone
- (757) 547-9294
- Fax
- (757) 548-0092
- NPI assigned
- Feb 17, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101026391 | VA | Primary |
Addresses
Primary practice location
612 Kingsborough SQ
Suite 100
Chesapeake, VA 23320-5041
Mailing address
5700 Cleveland St
Suite 228
Virginia Beach, VA 23462-1752
Phone (757) 499-2825
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PAR | Other | VA | VA PREMIER |
| PAR | Other | VA | VHN/P |
| PAR | Other | VA | USA MANAGED CARE |
| 05718 | Other | NC | BC/BS NC |
| 528969 | Other | VA | UHC/MAMSI |
| 259540 | Other | VA | ANTHEM BCBS |
| 428969 | Other | VA | UHC/MAMSI |
| 006092225 | Medicaid | VA | |
| 250358 | Other | VA | ANTHEM |
| PAR | Other | VA | MULTIPLAN |
| PAR | Other | VA | CORVEL/CORCARE |
| 15118 | Other | VA | OPTIMA/SENTARA |
| 8905718 | Medicaid | NC | |
| NON | Other | VA | FIRST HEALTH |
| PAR | Other | VA | AETNA |
| PAR | Other | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY |
| 15792 | Other | VA | SENTARA OHP/SHP |
| -001 | Other | VA | CHAMPUS/TRICARE |
| 006010172 | Medicaid | VA | |
| PAR | Other | VA | CIGNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101026391 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Assoc LTD | Cardiovascular Disease | Past | Accepting new patients |
| Cardiovascular Associates LTD | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Virginia Beach, VA
- NPI 1023062825
-
- Cardiovascular Disease Physician
- Chesapeake, VA
- NPI 1114971918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1619942232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 CLEVELAND ST",
"address_2": "SUITE 228",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621752",
"telephone_number": "757-499-2825",
"fax_number": "757-499-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 KINGSBOROUGH SQ",
"address_2": "SUITE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233205041",
"telephone_number": "757-547-9294",
"fax_number": "757-548-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "CARL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101026391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VHN/P",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS NC",
"identifier": "05718",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/MAMSI",
"identifier": "528969",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "259540",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/MAMSI",
"identifier": "428969",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006092225",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "250358",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL/CORCARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA/SENTARA",
"identifier": "15118",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8905718",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "NON",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OHP/SHP",
"identifier": "15792",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "-001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006010172",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PAR",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.