Active NPI
David R. Clifton, MD
- Diagnostic Radiology Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101263164
- Practice address
- 1300 Jefferson Park Ave Ste 1101
Charlottesville, VA 22903-3363 - Phone
- (434) 924-9391
- Fax
- (434) 982-6534
- NPI assigned
- Apr 16, 2012
- Last updated
- Aug 15, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | 0101263164 | VA | Primary |
Addresses
Primary practice location
1300 Jefferson Park Ave Ste 1101
Charlottesville, VA 22903-3363
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Diagnostic Radiology
- Education
- University of Texas Medical Branch at Galveston, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Tower Dr
Sun Prairie, WI 53590-1239
Phone (608) 825-3500
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000
130 Corporate Dr
Beaver Dam, WI 53916-3116
Phone (920) 877-3102
1305 W Main St
Whitewater, WI 53190-1503
Phone (262) 473-4548
1310 Broadway
Wisconsin Dells, WI 53965-1358
Phone (608) 253-1171
1700 Tuttle St
Baraboo, WI 53913-3319
Phone (608) 355-3800
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
225 Church St
Stoughton, WI 53589-1801
Phone (608) 877-2777
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-3311
3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
740 Reena Ave
Fort Atkinson, WI 53538-3145
Phone (920) 563-0888
752 N High Point Rd
Madison, WI 53717-2236
Phone (608) 824-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101263164 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Beloit Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Radiology Associates of the Fox Valley, SC | Diagnostic Radiology | Current | Accepting new patients |
| Madison Radiologists S C | Diagnostic Radiology | Current | Accepting new patients |
Locations
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
340 Midland Rd
Ste 120
Janesville, WI 53546
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471
900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Organizations & group practices 5
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.
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Diagnostic Radiology Physician
- Madison, WI
- NPI 1871573725
-
- Diagnostic Radiology Physician
- Beloit, WI
- NPI 1386661734
-
- Diagnostic Radiology Physician
- Neenah, WI
- NPI 1477539443
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
-
- Critical Access Hospital
- Columbus, WI
- NPI 1841376183
-
- General Acute Care Hospital
- Prairie Du Sac, WI
- NPI 1861466153
-
dba SSM Health St Clare Hospital-Baraboo
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
-
dba McFarland Urgent Care
- Urgent Care Clinic/Center
- McFarland, WI
- NPI 1477146082
Hospital
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
dba Cottage Grove Urgent Care
- Urgent Care Clinic/Center
- Cottage Grove, WI
- NPI 1811733066
Hospital
-
dba SSM Health Monroe Hospital
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1689931610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 JEFFERSON PARK AVE STE 1101",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229033363",
"telephone_number": "434-924-9391",
"fax_number": "434-982-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFTON",
"first_name": "DAVID",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-16",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101263164",
"primary": true
}
],
"identifiers": [],
"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 Aug 15, 2017; 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.