Individual provider Active NPI

Amy S. Kipp, M.D.

  • Anesthesiology Physician
  • Charlottesville, VA
National Provider Identifier
1699970855
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101249571 Issued in VA
Practice address
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone
(434) 654-7000
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101249571 VA
Interventional Pain Medicine Physician 208VP0014X 0101249571 VA
Anesthesiology Physician 207L00000X 0101249571 VA Primary

Addresses

Primary practice location

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668

Mailing address

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7000

Other practice location 1

1500 Brookhaven Dr Ste 1
Rockingham, VA 22801-3659
Phone (540) 434-1759

Other practice location 2

545 Ray C. Hunt Drive
Ste 350
Charlottesville, VA 22903-0001
Phone (434) 243-5676

Other practice location 3

1460 Pantops Mountain Pl Ste 2B
Charlottesville, VA 22911
Phone (434) 234-4910

Other identifiers 1

IdentifierTypeStateIssuer
1699970855MedicaidVA

Other names 1

  • Amy Sharkey Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amykipp@nspc.medalliesdirect.net
Direct Messaging Address amykipp@nspc.medalliesdirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110726000849 VA Practitioner - AnesthesiologyPractitioner - Pain Management 2163690751 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101249571VAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Commonwealth Anesthesia Associates, P.C. Anesthesiology CurrentSince Mar 30, 2018 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
Thunder Orthopedics, LLC CurrentSince Mar 1, 2023 Accepting new patients
University of Virginia Physicians Group CurrentSince Aug 1, 2011 Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

1215 Lee St
Fl 2
Charlottesville, VA 22908
Phone (434) 243-6628

545 Ray C Hunt Dr
Ste 350
Charlottesville, VA 22903
Phone (434) 243-5676

1460 Pantops Mountain Pl
Ste 2B
Charlottesville, VA 22911
Phone (434) 234-4910

1460 Pantops Mountain Pl
Ste 202
Charlottesville, VA 22911
Phone (434) 234-4910

300 Hickman Rd
Ste 202
Charlottesvle, VA 22911
Phone (434) 296-9596

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668

10800 Midlothian Tpke
Ste 265
North Chesterfield, VA 23235
Phone (804) 594-1383

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

1975 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 507-0170

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1699970855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARTHA JEFFERSON DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114668",
            "telephone_number": "434-654-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARTHA JEFFERSON DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114668",
            "telephone_number": "434-654-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Brookhaven Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228013659",
            "country_code": "US",
            "telephone_number": "540-434-1759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 Ray C. Hunt Drive",
            "address_2": "Ste 350",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229030001",
            "country_code": "US",
            "telephone_number": "434-243-5676",
            "fax_number": "434-243-5689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 Pantops Mountain Pl Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "22911",
            "country_code": "US",
            "telephone_number": "434-234-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIPP",
        "first_name": "AMY",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101249571",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0101249571",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101249571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699970855",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amykipp@nspc.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "1460 Pantops Mountain Pl Ste 2B",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229114600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amykipp@nspc.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "1500 Brookhaven Dr Ste 1",
            "city": "Rockingham",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228013659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SHARKEY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.