Kathy L Clarke, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101102706 Issued in VA

Practice address

5261 Carrollton Pike
Suite B
Woodlawn, VA 24381-3030

Phone

(276) 238-8876

Fax

(276) 238-8886

NPI assigned

Jul 20, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dr. Kathy M Sadr Former name

Medicare fee-for-service enrollment

Enrolled in NM

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20156/brand/1/csg/1/fhir/r4
• Direct secure messaging: kclarke@shc.gwaydirect.com

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.

• Silver Health Care PC

  • Internal Medicine Physician
  • Silver City, NM
  • NPI 1548291586

  NM

  Medicare reassignment NPD
• Comprehensive Medical Center I Inc

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1073524484

  Family Medicine

  NPD (past)
• Medical Care Plus, P.C.

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1053409045

  Family Medicine

  NPD (past)
• Virginiacare Physician Group, LLC

  • Assisted Living Facility
  • Hampton, VA
  • NPI 1366766271
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972502938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 CARROLLTON PIKE",
            "address_2": "SUITE B",
            "city": "WOODLAWN",
            "state": "VA",
            "postal_code": "243813030",
            "telephone_number": "276-238-8876",
            "fax_number": "276-238-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 CARROLLTON PIKE",
            "address_2": "SUITE B",
            "city": "WOODLAWN",
            "state": "VA",
            "postal_code": "243813030",
            "telephone_number": "276-238-8876",
            "fax_number": "276-238-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "KATHY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101102706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "DN2980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LC",
            "identifier": "0101102706",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ORGANIZATION PTAN",
            "identifier": "C10361",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "261083931",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972502938",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "SADR",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Alderman
• Appalachian Community Services
• Timothy D Bobbitt, OD
• Krista Brinegar, RN
• Care First Medical P LLC
• Lisa Elmore Curtis, MS, APRN, BC
• Lisa Dameron, FNP
• Elizabeth Ashley Draper, D.O.
• Faith Medical & Wellness Clinic, LLC
• Family Medicine of Woodlawn Inc

• All providers in Woodlawn, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.