Individual provider Active NPI

William Tucker Hark, MD

  • Allergy Physician
  • Richmond, VA
National Provider Identifier
1891708665
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0101051636 Issued in VA
Practice address
9920 Independence Park Dr
Suite 100
Richmond, VA 23233-1487
Phone
(804) 285-7420
Fax
(804) 565-3736
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 0101051636 VA Primary

Addresses

Primary practice location

9920 Independence Park Dr
Suite 100
Richmond, VA 23233-1487

Mailing address

9920 Independence Park Dr
Suite 100
Richmond, VA 23233-1487
Phone (804) 285-7420

Other identifiers 2

IdentifierTypeStateIssuer
223269OtherVAANTHEM
5808367MedicaidVA

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
I20120302000482 VA Practitioner - Allergy/Immunology 6709045271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Virginia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richmond Allergy and Asthma Specialists,PCGroup PAC ID 0143307207, 6 clinicians

Practice addresses (Care Compare)

9920 Independence Park Dr
Suite 100
Henrico, VA 23233-1487
Phone (804) 285-7420

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101051636VAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Allergy and Asthma Specialists,PC Allergy CurrentSince Mar 6, 1998 Accepting new patients
Inova Health Care Services PastSince Mar 6, 1998 Accepting new patients

Locations

9920 Independence Park Dr
Ste 100
Richmond, VA 23233
Phone (804) 285-7420

Organizations & group practices 2

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1891708665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 INDEPENDENCE PARK DR",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331487",
            "telephone_number": "804-285-7420",
            "fax_number": "804-565-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 INDEPENDENCE PARK DR",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331487",
            "telephone_number": "804-285-7420",
            "fax_number": "804-565-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARK",
        "first_name": "WILLIAM",
        "middle_name": "TUCKER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101051636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "223269",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5808367",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.