Richard D Grube, M.D.
Individual provider Active NPI Family Medicine Physician · Pearisburg, VA
NPI 1689652406 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1689652406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101226506 (VA)
- Practice address
- 430 Boxwood LN
Pearisburg, VA 24134-1168 - Phone
- (540) 921-3636
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Albany Medical College of Union University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carilion Giles Community Hospital
Carilion Healthcare Corporation
Practice addresses (Care Compare)
159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000
430 Boxwood LN
Pearisburg, VA 24134-1168
Phone (540) 921-3636
Hospital & facility affiliations
- Carilion Home Care Services
- Centerwell Home Health
- Warm Hearth at Home Inc
- Carilion Giles Community Hospital
- Carilion New River Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040512001301 | VA | Practitioner - Family Practice | 7214927367 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101226506 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Healthcare Corporation | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current |
Accepting new patients | |
| Norton Community Hospital, Inc | Past | Accepting new patients | |
| Norton Community Hospital | Past | Accepting new patients |
Locations
12301 Grapefield Rd
Bastian, VA 24314
Phone (276) 688-2626
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
430 Boxwood Ln
Pearisburg, VA 24134
Phone (540) 921-3636
213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
1375 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-8686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101226506 | VA | Yes |
Addresses
Primary practice location
430 Boxwood LN
Pearisburg, VA 24134-1168
Mailing address
430 Boxwood LN
Pearisburg, VA 24134-1168
Phone (540) 921-3636
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgrube18789@direct.carilionclinic.org | Direct |
Other providers in Pearisburg, VA
- Giles Internal Medicine
- Giles Lifesaving & Rescue Squad, Inc.
- Giles Pharmacy Inc
- Mariana Gomez de la Espriella
- Angela Ferguson Graham
- Douglas Scott Hayes
- Michael Scott Helvey
- Tolmie Margaret Holcomb
- Tiffany Danielle Holt
- Blake Hopkins
All providers in Pearisburg, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.