Active NPI
Linda Paige D'Andrea Perriello, M.D.
- Pediatrics Physician
- Charlottesville, VA
National Provider Identifier
1801855937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101239307
- Practice address
- 1011 E Jefferson St
Charlottesville, VA 22902-5354 - Phone
- (434) 296-9161
- Fax
- (434) 977-6068
- NPI assigned
- Mar 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD035705 | DC | |
| Pediatrics Physician | 208000000X | 228220 | MA | |
| Pediatrics Physician | 208000000X | 0101239307 | VA | Primary |
Addresses
Primary practice location
1011 E Jefferson St
Charlottesville, VA 22902-5354
Mailing address
1011 E Jefferson St
Charlottesville, VA 22902-5354
Phone (434) 296-9161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801855937 | Medicaid | VA | |
| 354480, 354481 | Other | VA | ANTHEM BLUE CROSS AND BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240911003125 | VA | Order and Referring Only - Pediatric Medicine | 1557364320 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035705 | DC | MD | Pediatrics Physician |
| 0101239307 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
| Carilion Medical Center | Past | Accepting new patients |
Interoperability endpoints
- paige.perriello@paoc.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1801855937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 E JEFFERSON ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025354",
"telephone_number": "434-296-9161",
"fax_number": "434-977-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 E JEFFERSON ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025354",
"telephone_number": "434-296-9161",
"fax_number": "434-977-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRIELLO",
"first_name": "LINDA",
"middle_name": "PAIGE D'ANDREA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-18",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD035705",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "228220",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101239307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801855937",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
"identifier": "354480, 354481",
"state": "VA"
}
],
"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 Oct 3, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.