Individual provider Active NPI

Mary B. Preston, M.D.

  • Internal Medicine Physician
  • Orange, VA
National Provider Identifier
1801965447
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101058376 Issued in VA
Practice address
661 University LN Ste B
Orange, VA 22960-2243
Phone
(540) 661-3004
Fax
(434) 244-4508
NPI assigned
Nov 7, 2006
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101058376 VA Primary

Addresses

Primary practice location

661 University LN Ste B
Orange, VA 22960-2243

Mailing address

500 Court SQ
Charlottesville, VA 22902-5141
Phone (434) 960-6107

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpreston6858@direct.healthsystem.virginia.edu Direct

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
I20060421000474 VA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7012927957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Connecticut School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1101 E Jefferson St
Charlottesville, VA 22902-5353
Phone (434) 227-5624

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Aug 17, 2020 Accepting new patients
Central Virginia Health Services Inc CurrentSince Aug 17, 2020 Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients
Uva Community Health Medical Group, LLC PastSince Nov 1, 2020 Accepting new patients

Locations

901 Preston Ave
Ste 301
Charlottesville, VA 22903
Phone (434) 227-5624

1101 E Jefferson St
Charlottesvle, VA 22902
Phone (434) 227-5624

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

Interoperability endpoints

  • Direct secure messaging: mary.preston.1@28846.direct.athenahealth.com
  • Direct secure messaging: mpreston6858@direct.healthsystem.virginia.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1801965447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COURT SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025141",
            "telephone_number": "434-960-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 UNIVERSITY LN STE B",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229602243",
            "telephone_number": "540-661-3004",
            "fax_number": "434-244-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "MARY",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101058376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpreston6858@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "661 University Ln Ste B",
            "city": "Orange",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229602243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, VA

Sources for this page

Verify at the official NPI Registry.