Active NPI
Craig L Bookout, MD
- Family Medicine Physician
- Rocky Mount, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101247843
- Practice address
- 180 Floyd Ave
Rocky Mount, VA 24151-1318 - Phone
- (540) 483-5277
- Fax
- (540) 489-6453
- NPI assigned
- Dec 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101247843 | VA | Primary |
Addresses
Primary practice location
180 Floyd Ave
Rocky Mount, VA 24151-1318
Mailing address
180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051678000 | Medicaid | WV | |
| 000472171 | Other | WV | BC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- JC Edwards School of Medicine, Marshall University, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14514 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Family Medicine | Current | Accepting new patients |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Franklin Memorial Hospital | Past | Accepting new patients | |
| Greenbrier Valley Emergency Physicians LLC | Past | Accepting new patients | |
| BJSM Med Inc | Past | Accepting new patients |
Locations
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277
Interoperability endpoints
- cbookout7063@direct.carilionclinic.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Carilion Franklin Memorial Hospital | Home health agency | Corporate Director | Sep 30, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Rocky Mount, VA
- NPI 1336132364
Corporate Director
Organizations & group practices 8
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.
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
- Rural Health Clinic/Center
- Pearisburg, VA
- NPI 1952791600
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- Home Health Agency
- Rocky Mount, VA
- NPI 1336132364
-
- Emergency Medicine Physician
- Ronceverte, WV
- NPI 1326037011
-
- Emergency Medicine Physician
- Ronceverte, WV
- NPI 1760676407
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rocky Mount, VA
- NPI 1710970918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1962487223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 FLOYD AVE",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241511318",
"telephone_number": "540-483-5277",
"fax_number": "540-489-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 FLOYD AVE",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241511318",
"telephone_number": "540-483-5277",
"fax_number": "540-489-6453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKOUT",
"first_name": "CRAIG",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101247843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0051678000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "000472171",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.