Active NPI
Philip E Grubbs, MD
- Plastic Surgery Physician
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 0101051261
- Practice address
- 817 Davis St
Suite 2
Blacksburg, VA 24060-7013 - Phone
- (540) 951-8885
- Fax
- (540) 951-8887
- NPI assigned
- Jul 26, 2005
- Reactivated
- Mar 28, 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 0101051261 | VA | Primary |
Addresses
Primary practice location
817 Davis St
Suite 2
Blacksburg, VA 24060-7013
Mailing address
817 Davis St
Suite 2
Blacksburg, VA 24060-7013
Phone (540) 951-8885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006900241 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 381-6000
Hospital & facility affiliations
- Lewisgale Hospital Montgomery
- Carilion New River Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 29 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101051261 | VA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients |
Locations
817 Davis St
Ste 2
Blacksburg, VA 24060
Phone (540) 951-3429
2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114
2900 Lamb Cir
Ste 310
Christiansburg, VA 24073
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
Interoperability endpoints
- pgrubbs18085@direct.carilionclinic.org
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Christiansburg, VA
- NPI 1376536573
-
- General Acute Care Hospital
- Blacksburg, VA
- NPI 1275570376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1629078241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 DAVIS ST",
"address_2": "SUITE 2",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607013",
"telephone_number": "540-951-8885",
"fax_number": "540-951-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 DAVIS ST",
"address_2": "SUITE 2",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607013",
"telephone_number": "540-951-8885",
"fax_number": "540-951-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBBS",
"first_name": "PHILIP",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2019-11-22",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101051261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006900241",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.