Active NPI 1508833591 Individual Practitioner Male Practitioner

Dr. Asad G. Ehtesham , MD

Specialist • Lynchburg, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Asad Ehtesham, MD is a certified Specialist practicing in Lynchburg, VA. With approximately 31 years of clinical experience since graduating from University Of Virginia School Of Medicine in 1995, Dr. Ehtesham delivers high-quality medical care to the local community at 2091 LANGHORNE RD.

Dr. Ehtesham is affiliated with Lynchburg Nephrology Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, dialysis services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2091 Langhorne Rd

Lynchburg, VA 245011428

Telephone 4349473954

Fax 8775834046

Associated Practice Facility / Clinic

🏢 Lynchburg Nephrology Physicians Pllc Facility NPI 1053498071

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lynchburg, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -3.0 yrs vs City Avg

City Avg: 34.0 Yrs

State Avg: 37.5 Yrs

Regional Practice Density

29 Specialists

Practicing in Lynchburg, VA (878 Statewide)

Telehealth Adoption Rate

3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ehtesham (31 Years) 31 Yrs

Lynchburg Specialty Average (34.0 Years) 34.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	358	200	$175.00	$86.59
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	345	232	$43.00	$15.84
99213 Established patient office or other outpatient visit, typically 15 minutes	147	122	$125.00	$68.87
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	136	23	$600.00	$340.19
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	117	18	$128.00	$47.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	51	$125.00	$74.14
90935 Hemodialysis procedure with physician evaluation	67	38	$297.00	$67.30
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	58	24	$503.45	$274.55
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	56	17	$128.00	$45.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	52	$315.00	$164.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$250.00	$161.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	21	$225.00	$134.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	22	$74.00	$47.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$225.00	$124.18
99495 Transitional care management services for problem of at least moderate complexity	12	12	$450.00	$120.20
99497 Advance care planning, first 30 minutes	12	12	$105.00	$52.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	179	$175.00	$81.63
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	232	36	$600.00	$343.87
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	227	33	$128.00	$47.56
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	226	33	$128.00	$48.87
99213 Established patient office or other outpatient visit, typically 15 minutes	158	123	$125.00	$70.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	127	80	$125.00	$77.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	82	61	$74.00	$47.83
90935 Hemodialysis procedure with physician evaluation	81	52	$297.00	$69.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	65	$315.00	$167.20
90966 Home dialysis services per month, patient 20 years of age or older	61	11	$500.00	$285.63
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	49	24	$500.00	$285.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$250.00	$162.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	33	$225.00	$126.76
90945 Dialysis procedure including 1 evaluation	23	11	$317.00	$83.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$225.00	$109.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$225.00	$123.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$175.00	$116.01
99495 Transitional care management services for problem of at least moderate complexity	12	11	$450.00	$186.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	510	16	$22.00	$8.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	175	$175.00	$83.07
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	248	42	$600.00	$355.70
99213 Established patient office or other outpatient visit, typically 15 minutes	185	142	$125.00	$66.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	178	110	$125.00	$70.11
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	153	38	$128.00	$54.51
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	153	38	$128.00	$49.10
90935 Hemodialysis procedure with physician evaluation	139	89	$297.00	$70.74
90966 Home dialysis services per month, patient 20 years of age or older	98	15	$500.00	$292.82
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	89	40	$500.00	$295.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	76	$315.00	$195.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	58	$74.00	$38.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	41	$225.00	$133.04
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	39	39	$38.00	$18.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$250.00	$166.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	16	$40.00	$14.31
99497 Advance care planning, first 30 minutes	21	19	$105.00	$49.04
90945 Dialysis procedure including 1 evaluation	21	12	$317.00	$85.34
99495 Transitional care management services for problem of at least moderate complexity	20	20	$450.00	$140.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$225.00	$111.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$225.00	$132.86
90962 Dialysis services, 1 physician visit per month (20 years or older)	14	13	$400.00	$203.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$175.00	$100.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	720	18	$22.00	$8.74
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	379	73	$600.00	$360.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	175	$175.00	$129.91
90935 Hemodialysis procedure with physician evaluation	232	107	$297.00	$72.86
99213 Established patient office or other outpatient visit, typically 15 minutes	219	170	$125.00	$91.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	179	101	$125.00	$71.42
90966 Home dialysis services per month, patient 20 years of age or older	148	17	$500.00	$298.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	103	$315.00	$199.00
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	92	53	$500.00	$298.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	53	$74.00	$38.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	55	$225.00	$133.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	19	$40.00	$14.23
90945 Dialysis procedure including 1 evaluation	30	15	$317.00	$86.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$250.00	$168.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$225.00	$112.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	14	$175.00	$102.64
99495 Transitional care management services for problem of at least moderate complexity	16	15	$450.00	$206.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	702	17	$22.00	$9.90
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	630	18	$22.00	$8.27
90935 Hemodialysis procedure with physician evaluation	396	158	$297.00	$74.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	368	178	$125.00	$72.72
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	332	123	$600.00	$287.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	172	$175.00	$109.24
99213 Established patient office or other outpatient visit, typically 15 minutes	247	177	$125.20	$75.11
36415 Insertion of needle into vein for collection of blood sample	204	148	$25.00	$2.93
80069 Kidney function blood test panel	192	142	$30.00	$8.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	161	150	$315.00	$203.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	154	121	$27.00	$7.57
90966 Home dialysis services per month, patient 20 years of age or older	153	20	$500.00	$241.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	144	105	$74.00	$39.59
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	120	86	$500.00	$241.85
84156 Total protein level, urine	115	99	$13.00	$3.57
82570 Creatinine level to test for kidney function or muscle injury	114	99	$18.00	$5.04
83970 Parathormone (parathyroid hormone) level	90	79	$143.00	$40.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	28	$40.00	$14.27
82306 Vitamin d-3 level	61	57	$70.00	$29.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	47	$225.00	$139.46
81000 Manual urinalysis test with examination using microscope, non-automated	37	33	$13.00	$3.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$250.00	$157.78
99495 Transitional care management services for problem of at least moderate complexity	25	18	$450.00	$186.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$205.43	$108.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	19	$175.00	$104.99
90962 Dialysis services, 1 physician visit per month (20 years or older)	14	13	$400.00	$186.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	1,378	34	$22.00	$11.35
36415 Insertion of needle into vein for collection of blood sample	594	290	$25.00	$2.94
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	593	211	$599.83	$282.45
80069 Kidney function blood test panel	530	276	$30.00	$9.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	459	260	$27.00	$8.46
90935 Hemodialysis procedure with physician evaluation	364	152	$297.00	$72.91
82570 Creatinine level to test for kidney function or muscle injury	346	226	$18.00	$5.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	346	199	$125.00	$71.94
84156 Total protein level, urine	346	228	$13.00	$3.99
83970 Parathormone (parathyroid hormone) level	345	222	$143.00	$44.94
99213 Established patient office or other outpatient visit, typically 15 minutes	270	210	$125.00	$73.39
82306 Vitamin d-3 level	225	164	$70.00	$32.23
90970 Dialysis services, per day, less than full month service (20 years or older)	217	11	$20.00	$7.74
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	197	113	$500.00	$237.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	124	$175.00	$106.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	132	96	$74.00	$39.05
90966 Home dialysis services per month, patient 20 years of age or older	102	20	$503.92	$236.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	77	36	$40.00	$16.50
81000 Manual urinalysis test with examination using microscope, non-automated	76	66	$13.00	$3.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	65	$315.00	$184.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	42	$224.18	$133.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	31	$175.00	$103.13
83550 Iron binding capacity	30	22	$30.00	$9.52
82728 Ferritin (blood protein) level	30	22	$47.00	$14.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$175.00	$107.20
90962 Dialysis services, 1 physician visit per month (20 years or older)	27	23	$400.00	$183.37
83735 Magnesium level	25	14	$23.00	$7.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$250.00	$162.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	16	$40.00	$22.54
99495 Transitional care management services for problem of at least moderate complexity	13	13	$450.00	$162.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	1,550	36	$22.00	$12.53
36415 Insertion of needle into vein for collection of blood sample	630	228	$25.00	$2.94
80069 Kidney function blood test panel	574	225	$30.00	$10.50
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	536	221	$27.00	$9.39
83970 Parathormone (parathyroid hormone) level	456	216	$143.00	$49.87
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	451	106	$600.00	$273.22
84156 Total protein level, urine	432	210	$13.00	$4.43
82570 Creatinine level to test for kidney function or muscle injury	432	210	$18.00	$6.25
90935 Hemodialysis procedure with physician evaluation	389	167	$297.00	$70.25
82306 Vitamin d-3 level	384	197	$70.00	$35.82
99213 Established patient office or other outpatient visit, typically 15 minutes	369	203	$125.00	$69.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	327	160	$125.00	$70.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	111	$175.00	$103.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	128	88	$74.00	$37.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	122	112	$225.00	$131.79
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	100	49	$500.00	$229.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	79	$314.15	$194.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	37	$40.00	$19.72
83550 Iron binding capacity	32	18	$30.00	$10.57
82728 Ferritin (blood protein) level	32	18	$47.00	$16.49
83735 Magnesium level	31	15	$23.00	$8.10
81000 Manual urinalysis test with examination using microscope, non-automated	27	20	$13.00	$3.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	23	$40.00	$20.76
99495 Transitional care management services for problem of at least moderate complexity	16	16	$450.00	$157.98
80061 Blood test, lipids (cholesterol and triglycerides)	15	11	$80.00	$16.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	15	$175.00	$100.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$250.00	$158.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	2,180	40	$22.00	$12.79
36415 Insertion of needle into vein for collection of blood sample	727	236	$25.00	$2.93
80069 Kidney function blood test panel	652	228	$30.00	$11.47
90970 Dialysis services, per day, less than full month service (20 years or older)	638	21	$20.00	$7.46
83970 Parathormone (parathyroid hormone) level	602	229	$143.00	$55.19
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	595	225	$27.00	$10.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	554	209	$175.00	$101.92
82306 Vitamin d-3 level	547	224	$70.00	$39.53
84156 Total protein level, urine	538	219	$13.00	$4.90
82570 Creatinine level to test for kidney function or muscle injury	537	219	$18.00	$6.90
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	460	94	$600.00	$271.41
90935 Hemodialysis procedure with physician evaluation	324	150	$297.00	$69.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	293	162	$125.00	$69.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	189	124	$74.00	$37.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	109	96	$224.32	$131.06
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	108	53	$500.00	$227.92
90966 Home dialysis services per month, patient 20 years of age or older	94	21	$500.00	$227.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	93	91	$314.28	$192.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	41	$40.00	$24.34
99213 Established patient office or other outpatient visit, typically 15 minutes	56	45	$125.00	$69.90
83735 Magnesium level	49	16	$23.00	$9.01
99495 Transitional care management services for problem of at least moderate complexity	31	30	$450.00	$156.10
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	21	$40.00	$19.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	19	$175.00	$99.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$250.00	$156.69
81000 Manual urinalysis test with examination using microscope, non-automated	22	22	$13.00	$4.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$225.00	$138.13

Medical Specialties & State Licenses

CMS Verified: 2024-09-20

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101232833

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Lynchburg Nephrology Physicians Pllc

2091 Langhorne Rd, Lynchburg, VA 245011428

Phone: 4349473954

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Sasmit Roy , MD

Internal Medicine - Nephrology

NPI 1053728857

Doctor of Medicine (M.D.)

Dina Blackstock , PA-C

Physician Assistant

NPI 1215153127

Physician Assistant (Certified)

Dr. Robert Lockridge , MD

Specialist

NPI 1235107525

Doctor of Medicine (M.D.)

Tina Whelan , PA-C

Physician Assistant

NPI 1285783571

Physician Assistant (Certified)

Nyein Chann Wai Lynn

Internal Medicine - Nephrology

NPI 1396230223

Christina Peterson , FNP

Nurse Practitioner - Family

NPI 1467281683

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location September 20, 2024

Registered at 2091 LANGHORNE RD, LYNCHBURG, VA 245011428 (Tel: 4349473954)

✅

NPI Profile Active March 01, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 01, 2010

Registered at 103 CLIFTON ST, LYNCHBURG, VA 245011460 (Tel: 4349473954)

📍

Updated Business Mailing Address March 01, 2010

Registered at 141 BEACON HILL PL, LYNCHBURG, VA 245034127 (Tel: 4349473954)

👤

Provider Name / Credentials Updated March 01, 2010

Recorded as ASAD EHTESHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2010

Specialist (License #0101232833 in VA)

🟢

Initial NPI Registration & Enumeration March 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508833591

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 08, 2006

Last Update: September 20, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

141 Beacon Hill Pl

Lynchburg, VA 245034127

Phone: 4349473954

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.