Individual provider Active NPI

Anne Depasquale, M.D.

  • Family Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1730479379
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101252495 Issued in VA
Practice address
320 Federal St
Lynchburg, VA 24504-2306
Phone
(434) 455-2480
NPI assigned
Apr 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD179159 OR
Family Medicine Physician 207Q00000X MD040975 DC
Family Medicine Physician 207Q00000X S-5879 TX
Family Medicine Physician 207Q00000X 0101252495 VA Primary

Addresses

Primary practice location

320 Federal St
Lynchburg, VA 24504-2306

Mailing address

320 Federal St
Lynchburg, VA 24504-2306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140916000427 DC Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 2163641655 Reassigns benefits to 2 organizations
I20210427001215 NC Practitioner - Family Practice 2163641655 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S-5879TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspirational Community Health Center LLC Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Unity Health Care Inc. CurrentSince Jul 16, 2014 Accepting new patients
Unity Health Care, Inc. CurrentSince Jul 16, 2014 Accepting new patients

Locations

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

1251B Saratoga Ave NE
Washington, DC 20018
Phone (202) 832-8818

801 Summit Ave
Ste 1
Greensboro, NC 27405
Phone (336) 646-2000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1730479379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 FEDERAL ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245042306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 FEDERAL ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245042306",
            "telephone_number": "434-455-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPASQUALE",
        "first_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-16",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD179159",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD040975",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S-5879",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101252495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.