Individual provider Active NPI

Sara Alice Kaltreider, M.D.

  • Ophthalmology Physician
  • Charlottesville, VA
National Provider Identifier
1841263670
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101033508 Issued in VA
Practice address
630 Peter Jefferson Pkwy
Suite 140
Charlottesville, VA 22911-8605
Phone
(434) 244-8610
Fax
(434) 244-8611
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101033508 VA Primary

Addresses

Primary practice location

630 Peter Jefferson Pkwy
Suite 140
Charlottesville, VA 22911-8605

Mailing address

630 Peter Jefferson Pkwy
Suite 140
Charlottesville, VA 22911-8605
Phone (434) 244-8610

Other identifiers 7

IdentifierTypeStateIssuer
66360OtherVACOMMUNITY HEALTH
195459OtherVAANTHEM SERVICES
P00435219OtherVAMEDICARE PIN
195459OtherVAANTHEM HEALTHKEEPERS
436847OtherVASOUTHERN HEALTH
66360OtherVAOPTIMA
1480129OtherVACIGNA

Medicare participation

Medicare enrollment files
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 1, 2014 through Jan 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1841263670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PETER JEFFERSON PKWY",
            "address_2": "SUITE 140",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118605",
            "telephone_number": "434-244-8610",
            "fax_number": "434-244-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PETER JEFFERSON PKWY",
            "address_2": "SUITE 140",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118605",
            "telephone_number": "434-244-8610",
            "fax_number": "434-244-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTREIDER",
        "first_name": "SARA",
        "middle_name": "ALICE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101033508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH",
            "identifier": "66360",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SERVICES",
            "identifier": "195459",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "P00435219",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS",
            "identifier": "195459",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "436847",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "66360",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1480129",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.