NPIMap

Individual provider Active NPI

Daryl Wayne Peake, M.D.

  • Anesthesiology Physician
  • Abingdon, VA
National Provider Identifier
1952509556
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101244439 Issued in VA
Practice address
16000 Johnston Memorial Dr
Department of Anesthesiology
Abingdon, VA 24211-7664
Phone
(276) 258-1400
Fax
(276) 258-1405
NPI assigned
Jul 5, 2007
Last updated
Jul 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 650L MS
Anesthesiology Physician 207L00000X 0101244439 VA Primary
Anesthesiology Physician 207L00000X MD000004437 TN

Addresses

Primary practice location

16000 Johnston Memorial Dr
Department of Anesthesiology
Abingdon, VA 24211-7664

Mailing address

16000 Johnston Memorial Dr
Department of Anesthesiology
Abingdon, VA 24211-7664
Phone (276) 258-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090728000070 TN Practitioner - Anesthesiology 8022161876
I20091120000324 VA Practitioner - Anesthesiology 8022161876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Highlands Anesthesia PCGroup PAC ID 0648266437, 29 clinicians

Practice addresses (Care Compare)

100 15TH St NW
Norton, VA 24273-1616
Phone (276) 679-9600

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-3020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
650LMSMDAnesthesiology Physician
MD000004437TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 20, 2018 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 20, 2018 Accepting new patients
Cumberland Anesthesia Group LLC Anesthesiology Past Accepting new patients

Locations

100 Greenway Cir
Erwin, TN 37650
Phone (423) 743-1271

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

601 Campus Dr
Abingdon, VA 24210
Phone (276) 258-1670

245 Medical Park Dr
Marion, VA 24354
Phone (276) 378-1000

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Organizations & group practices 5

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 5

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1952509556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-1400",
            "fax_number": "276-258-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-1400",
            "fax_number": "276-258-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAKE",
        "first_name": "DARYL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "650L",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101244439",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "MD000004437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.