Individual provider Active NPI

David R Penberthy, MD

  • Radiation Oncology Physician
  • Charlottesville, VA
National Provider Identifier
1891759692
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
0101052951 Issued in VA
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

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q108935MedicaidTN
005873363MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address penberthy.david.r@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101110000958 VA Practitioner - Radiation Oncology 2860586898 Reassigns benefits to 3 organizations
I20211111000281 PA Practitioner - Radiation Oncology 2860586898 Reassigns benefits to 1 organization
I20260217001027 TN Practitioner - Radiation Oncology 2860586898 Reassigns benefits to 1 organization

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
University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians
Thompson Oncology GroupGroup PAC ID 0941246771, 65 clinicians

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 Hospital, Charlottesville, VA, CCN 490009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101052951VAMDSpecialist
MD475884PAMDRadiation Oncology Physician
65949TNMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Apr 1, 2022 Accepting new patients
University of Virginia Physicians Group CurrentSince Jan 1, 2024 Accepting new patients
Lancaster General Hospital Radiation Oncology Current Accepting new patients
Lancaster General Hospital CurrentSince Jan 3, 2022 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Apr 1, 2022 Accepting new patients
Thompson Oncology Group Radiation Oncology CurrentSince Jan 26, 2026 Accepting new patients
Virginia Radiation Oncology Associates, Inc Radiation Oncology CurrentSince Jul 1, 2002 Accepting new patients
Lancaster General Hospital CurrentSince Jan 3, 2022 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.