Individual provider Active NPI

Kara Hatlevoll, DO

  • Emergency Medicine Physician
  • Roanoke, VA
National Provider Identifier
1750990404
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0102208539 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7000
Fax
(540) 985-6920
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0383R OK
Emergency Medicine Physician 207P00000X 0102208539 VA Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5705

Other names 1

  • Kara Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, NC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220426001594 OK Practitioner - Emergency Medicine 3072900877 Reassigns benefits to 6 organizations
I20240702003785 NC Practitioner - Emergency Medicine 3072900877 Reassigns benefits to 1 organization
I20240720000327 VA Practitioner - Emergency Medicine 3072900877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Campbell Univ School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Emergency Physicians PAGroup PAC ID 9931002078, 269 clinicians

Practice addresses (Care Compare)

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173
  • Granville Health Systems Hospital, Oxford, NC, CCN 340127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0383ROKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center Emergency Medicine CurrentSince Jul 29, 2024 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Farmers Union Hospital Association CurrentSince Jun 21, 2023 Accepting new patients
Carilion Medical Center CurrentSince Jul 29, 2024 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jun 10, 2023 Accepting new patients
Norman Regional Hospital Authority Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Farmers Union Hospital Association CurrentSince Jun 21, 2023 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jul 29, 2024 Accepting new patients
Oklahoma Emergency Partners LLC Emergency Medicine CurrentSince Feb 26, 2023 Accepting new patients
Wake Emergency Physicians PA Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jul 29, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jul 29, 2024 Accepting new patients
Wake Emergency Physicians PA Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Norman Regional Hospital Authority CurrentSince Jun 1, 2023 Accepting new patients

Locations

210 Towne Village Dr
Cary, NC 27513
Phone (919) 348-4483

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

Interoperability endpoints

  • Direct secure messaging: khatlevoll182753@direct.carilionclinic.org
  • Direct secure messaging: khatlevoll102496@ouhealth.direct-ci.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1750990404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000",
            "fax_number": "540-985-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATLEVOLL",
        "first_name": "KARA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "0383R",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102208539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "SMITH",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.