Robert Dudley Abbott, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101265422 Issued in VA

Practice address

355 Rio Rd W Ste 206
Charlottesville, VA 22901-1361

Phone

(434) 218-3425

Fax

(434) 215-0727

NPI assigned

May 29, 2017

Last updated

May 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 22, 2021 through Jan 22, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Resilient Roots: Functional and Evolutionary Medicine

  • General Practice Physician
  • Charlottesville, VA
  • NPI 1184244774
  Authorized official Same address or phone

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1760910202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 RIO RD W STE 206",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011361",
            "telephone_number": "434-218-3425",
            "fax_number": "434-215-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 RIO RD W STE 206",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011361",
            "telephone_number": "434-218-3425",
            "fax_number": "434-215-0727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Water St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "22902",
            "country_code": "US",
            "telephone_number": "434-218-3425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Preston Ave Ste 402-3",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "22903",
            "country_code": "US",
            "telephone_number": "434-218-3425",
            "fax_number": "434-215-0727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 E Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229025572",
            "country_code": "US",
            "telephone_number": "434-218-3425",
            "fax_number": "434-215-0727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "ROBERT",
        "middle_name": "DUDLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-29",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101265422",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101265422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Price Aaron, MSW
• Anna Abate
• Vaia Thomas Abatzis, M.D.
• Salma O Abbas, MBBCH
• Antonio Abbate, M.D.
• Sophia Abbott, RN
• Abc Therapy,LLC
• Khaled M Sebawih Abdalla, MD
• Emaad M Abdel-Rahman
• Abdallah Abdelrazeq, M.D

• General Practice Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.