Active NPI
David R Penberthy, MD
- Radiation Oncology Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 0101052951
- Practice address
- 1240 Lee St
Charlottesville, VA 22908-2360 - Phone
- (434) 924-9333
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101052951 | VA | |
| Radiation Oncology Physician | 2085R0001X | 65949 | TN | |
| Radiation Oncology Physician | 2085R0001X | 0101052951 | VA | Primary |
| Radiation Oncology Physician | 2085R0001X | MD475884 | PA |
Addresses
Primary practice location
1240 Lee St
Charlottesville, VA 22908-2360
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
210 Medical Park Blvd Ste 100
Petersburg, VA 23805-9348
Phone (804) 765-5850
Other practice location 2
1215 Lee St
Charlottesville, VA 22908-2360
Phone (434) 924-9333
Other practice location 3
6450 Provision Cares Way
Knoxville, TN 37909-2544
Phone (865) 862-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q108935 | Medicaid | TN | |
| 005873363 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | penberthy.david.r@covenanthealth.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 243-6868
6450 Provision Cares Way
Knoxville, TN 37909-2544
Phone (865) 862-1600
Hospital & facility affiliations
- University of Virginia Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101052951 | VA | MD | Specialist |
| MD475884 | PA | MD | Radiation Oncology Physician |
| 65949 | TN | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Lancaster General Hospital | Radiation Oncology | Current | Accepting new patients |
| Lancaster General Hospital | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Thompson Oncology Group | Radiation Oncology | Current | Accepting new patients |
| Virginia Radiation Oncology Associates, Inc | Radiation Oncology | Current | Accepting new patients |
| Lancaster General Hospital | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Past | Accepting new patients |
Locations
2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030
317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555
6450 Provision Cares Way
Knoxville, TN 37909
Phone (865) 342-4518
Dept 888078
Knoxville, TN 37995
1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065
1240 Lee St
Charlottesville, VA 22908
1215 Lee St
Fl 1
Charlottesville, VA 22908
Phone (434) 924-9400
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
210 Medical Park Blvd
Ste 100
Petersburg, VA 23805
Phone (804) 765-5850
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
Organizations & group practices 9
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Hematology & Oncology Physician
- Knoxville, TN
- NPI 1619975737
Radiation Oncology
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
-
- Radiation Oncology Physician
- Richmond, VA
- NPI 1154438570
-
- Radiation Oncology Physician
- Lancaster, PA
- NPI 1720430812
-
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
- NPI 1841029287
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1205691912
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1265525026
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1891759692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229082360",
"telephone_number": "434-924-9333"
}
],
"practiceLocations": [
{
"address_1": "210 Medical Park Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Petersburg",
"state": "VA",
"postal_code": "238059348",
"country_code": "US",
"telephone_number": "804-765-5850",
"fax_number": "804-765-5870",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229082360",
"country_code": "US",
"telephone_number": "434-924-9333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6450 Provision Cares Way",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379092544",
"country_code": "US",
"telephone_number": "865-862-1600",
"fax_number": "865-862-1610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENBERTHY",
"first_name": "DAVID",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101052951",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "65949",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "VA",
"license": "0101052951",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MD475884",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q108935",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005873363",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "penberthy.david.r@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "6450 Provision Cares Way",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379092544",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.