Individual provider Active NPI

Peter Hartung, DO

  • Family Medicine Physician
  • Blacksburg, VA
National Provider Identifier
1851920607
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102207825 Issued in VA
Practice address
901 Plantation Rd Ste 1
Blacksburg, VA 24060-3880
Phone
(540) 951-0352
Fax
(540) 951-7724
NPI assigned
Apr 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0102207825 VA Primary

Addresses

Primary practice location

901 Plantation Rd Ste 1
Blacksburg, VA 24060-3880

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5352

Other practice location 1

4910 Valley View Blvd NW
Roanoke, VA 24012-2040
Phone (540) 265-4225

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
I20230711000735 VA Practitioner - Family Practice 4284057290 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

901 Plantation Rd
Blacksburg, VA 24060-3833
Phone (540) 731-3222

Hospital & facility affiliations

  • Warm Hearth at Home Inc Home health agency, Christiansburg, VA, CCN 497733
  • Centerwell Home Health Home health agency, Roanoke, VA, CCN 497429
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110
  • Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • The Wybe and Marietje Kroontje Health Care Center Nursing home, Blacksburg, VA, CCN 495406

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Rockbridge Community Hospital CurrentSince Aug 14, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 14, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 14, 2023 Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 14, 2023 Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 14, 2023 Accepting new patients

Locations

901 Plantation Rd
Blacksburg, VA 24060
Phone (540) 951-0352

901 Plantation Rd
Ste 1
Blacksburg, VA 24060
Phone (540) 951-0352

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

390 S Main St
Ste 201
Rocky Mount, VA 24151
Phone (540) 484-4800

Interoperability endpoints

  • Direct secure messaging: peter.hartung@hca6.eclinicaldirectplus.com
  • Direct secure messaging: phartung117331@direct.carilionclinic.org

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1851920607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PLANTATION RD STE 1",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603880",
            "telephone_number": "540-951-0352",
            "fax_number": "540-951-7724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Valley View Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240122040",
            "country_code": "US",
            "telephone_number": "540-265-4225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTUNG",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.