NPIMap

Individual provider Active NPI

Phillip Matthew Hartle, M.D.

  • Nephrology Physician
  • Richmond, VA
National Provider Identifier
1891948220
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101254122 Issued in VA
Practice address
7001 W Broad St
Ste a
Richmond, VA 23294-3701
Phone
(804) 673-2722
Fax
(804) 282-5723
NPI assigned
Oct 29, 2008
Last updated
Dec 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT189010 PA
Internal Medicine Physician 207R00000X MD436849 PA
Internal Medicine Physician 207R00000X 48848 TN
Nephrology Physician 207RN0300X 0101254122 VA Primary

Addresses

Primary practice location

7001 W Broad St
Ste a
Richmond, VA 23294-3701

Mailing address

671 Hioaks Rd
Suite B
Richmond, VA 23225-4072
Phone (804) 272-5814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130912000422 VA Practitioner - NephrologyPractitioner - Internal Medicine 9234289356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Nephrology Associates IncGroup PAC ID 3173549045, 24 clinicians

Practice addresses (Care Compare)

671 B Hioaks Rd
Richmond, VA 23225-4072

671 Hioaks Rd
Suite B
Richmond, VA 23225-4072
Phone (804) 323-6903

671 Hioaks Rd B
Richmond, VA 23225-4072
Phone (804) 323-6903

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48848TNMDInternal Medicine Physician
MT189010PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Nephrology Associates, Inc. Nephrology CurrentSince Jan 1, 2016 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

671 Hioaks Rd
Ste B
Richmond, VA 23225
Phone (804) 272-5814

7001 W Broad St
Ste A
Richmond, VA 23294
Phone (804) 673-2722

Interoperability endpoints

  • Direct secure messaging: phillip.hartle@rn.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1891948220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HIOAKS RD",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254072",
            "telephone_number": "804-272-5814",
            "fax_number": "804-560-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 W BROAD ST",
            "address_2": "STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943701",
            "telephone_number": "804-673-2722",
            "fax_number": "804-282-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLE",
        "first_name": "PHILLIP",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT189010",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD436849",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "48848",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101254122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.