Individual provider Active NPI

Kathryn Kilpatrick, MD

  • Pediatrics Physician
  • Alberta, VA
National Provider Identifier
1881636280
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101042014 Issued in VA
Practice address
8380 Boydton Plank Rd
Alberta, VA 23821-2851
Phone
(434) 949-7211
NPI assigned
Jun 11, 2006
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101042014 VA Primary

Addresses

Primary practice location

8380 Boydton Plank Rd
Alberta, VA 23821-2851

Mailing address

PO Box 87
South Hill, VA 23970-0087
Phone (434) 949-7211

Other identifiers 18

IdentifierTypeStateIssuer
10008404OtherVAOPTIMA KB
3011626OtherVACIGNA SOUTH HILL
62363OtherVACARENET KENBRIDGE
010271401MedicaidVA
010290571MedicaidVA
196323OtherVABCBS #
224189800OtherVADOL
62324OtherVACARENET
189043OtherVAMEDCOST
1881636280MedicaidVA
196348OtherVABCBS #
196349OtherVABCBS #
89063PEOtherVANC MEDICAID
010271401OtherVAVA PREMIER
010290597MedicaidVA
1881636280OtherVANPI
10007661OtherVAOPTIMA
3011626OtherVACIGNA

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
I20050311000147 VA Practitioner - Pediatric Medicine 1759335854 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pediatrics CurrentSince Apr 20, 2017 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 20, 2017 Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 2, 2025 Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 2, 2025 Accepting new patients
Community Memorial Hospital Past Accepting new patients

Locations

8380 Boydton Plank Rd
Alberta, VA 23821
Phone (434) 494-7211

8644 Sudley Rd
#220
Manassas, VA 20110

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

514 W Atlantic St
South Hill, VA 23970
Phone (434) 447-6969

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1881636280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700087",
            "telephone_number": "434-949-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 BOYDTON PLANK RD",
            "city": "ALBERTA",
            "state": "VA",
            "postal_code": "238212851",
            "telephone_number": "434-949-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "KATHRYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101042014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA KB",
            "identifier": "10008404",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA SOUTH HILL",
            "identifier": "3011626",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARENET KENBRIDGE",
            "identifier": "62363",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010271401",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010290571",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "196323",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "224189800",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARENET",
            "identifier": "62324",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "189043",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881636280",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "196348",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "196349",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID",
            "identifier": "89063PE",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA  PREMIER",
            "identifier": "010271401",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010290597",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881636280",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "10007661",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3011626",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alberta, VA

Sources for this page

Verify at the official NPI Registry.