Individual provider Active NPI

Ernest O Pugh, MD

  • Family Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1831163575
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101046325 Issued in VA
Practice address
315 10TH St NE
Charlottesville, VA 22902-5316
Phone
(434) 654-1950
Fax
(434) 977-9808
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101046325 VA Primary

Addresses

Primary practice location

315 10TH St NE
Charlottesville, VA 22902-5316

Mailing address

PO Box 79777
Baltimore, MD 21279-0777
Phone (434) 654-7794

Other practice location 1

889B Rio East Court
Charlottesville, VA 22901
Phone (434) 978-7100

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
I20050620001195 VA Practitioner - Family Practice 9739124876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Health Center IncGroup PAC ID 9739082520, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

4038 Thomas Nelson Hwy
Arrington, VA 22922-2302
Phone (434) 263-4000

624 Jones St
Appomattox, VA 24522-4031
Phone (434) 263-4000

Hospital & facility affiliations

  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101046325VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Health Center Inc CurrentSince Jan 10, 2022 Accepting new patients
Blue Ridge Health Center Inc CurrentSince Jan 10, 2022 Accepting new patients
Blue Ridge Health Center Inc Past Accepting new patients

Locations

624 Jones St
Appomattox, VA 24522
Phone (434) 263-4000

4038 Thomas Nelson Hwy
Arrington, VA 22922
Phone (434) 263-4000

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1831163575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79777",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790777",
            "telephone_number": "434-654-7794",
            "fax_number": "434-977-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 10TH ST NE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025316",
            "telephone_number": "434-654-1950",
            "fax_number": "434-977-9808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "889B Rio East Court",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "22901",
            "country_code": "US",
            "telephone_number": "434-978-7100",
            "fax_number": "434-978-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "ERNEST",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101046325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.