BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1902938871
Internal Medicine - Cardiovascular Disease in Abingdon, VA

NPI Status: Active since March 09, 2007

Contact Information

16000 JOHNSTON MEMORIAL DRIVE
SUITE 212A
ABINGDON, VA
ZIP 24211
Phone: (276) 258-3740
Fax: (276) 258-3745

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Insurance
  • CLIA Number: 49D2026467
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-14-2026

About BALLAD HEALTH MEDICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Ballad Health Medical Associates, an internist established in Abingdon, Virginia operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1902938871 assigned on March 2007. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Ballad Health Medical Associates. The authorized official of this NPI record is Carl Steven Kilgore (President)

NPI
1902938871
Provider Legal Name
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Other Organization Name
BALLAD HEALTH MEDICAL ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16000 JOHNSTON MEMORIAL DRIVE SUITE 212A ABINGDON, VA 24211
Location Phone
(276) 258-3740
Location Fax
(276) 258-3745
Mailing Address
16000 JOHNSTON MEMORIAL DRIVE SUITE 212A ABINGDON, VA 24211
Mailing Phone
(276) 258-3740
Mailing Fax
(276) 258-3745
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2007
Last Update Date
03-29-2019
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An internist like Ballad Health Medical Associates is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 7500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 2875 Indiv Med Deductible - EPO
  • Connect Silver 3825 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARL STEVEN KILGORE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(423) 302-3051

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7100108940MEDICAID (05)KY 
DF7910OTHER (01)VARAILROAD MEDICARE
020487843OTHER (01)VADEPARTMENT OF LABOR
Q021416MEDICAID (05)TN 
1902938871MEDICAID (05)VA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2026467
Facility Type
Physician Office
Certificate Effective Date
August 15, 2024
Certificate Expiration Date
August 14, 2026
Laboratory Director
DANE LEE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Ballad Health Medical Associates in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902938871
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290218316814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 8 + 3 + 1 + 6 + 8 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1902938871 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073752036 TARIKU DAMTE AYALEW M.D.
Individual
Internal Medicine16000 JOHNSTON MEMORIAL DRIVE
ABINGDON, VA 24211
(301) 618-3772
1629362033BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Organization
Urology16000 JOHNSTON MEMORIAL DRIVE SUITE 112A
ABINGDON, VA 24211
(276) 258-1740
1356320881DR. JOSEPH A BROWN MD
Individual
Internal Medicine (Gastroenterology)16000 JOHNSTON MEMORIAL DRIVE SUITE 304
ABINGDON, VA 24211
(276) 258-3600
1306944350ABINGDON PHYSICIAN PARTNERS
Organization
Internal Medicine16000 JOHNSTON MEMORIAL DRIVE
ABINGDON, VA 24211
(276) 258-3700
1376382887 LAITH OSAMA AHMAD QASARWEH M.D.
Individual
Internal Medicine16000 JOHNSTON MEMORIAL DRIVE GME SUITE, 4TH FLOOR
ABINGDON, VA 24211
(276) 258-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902938871, enumerated in the NPI registry as an "organization" on March 09, 2007

The provider is located at 16000 Johnston Memorial Drive Suite 212a Abingdon, Va 24211 and the phone number is (276) 258-3740

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Cigna Healthcare, Medicare, Medicaid and Railroad. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 49D2026467 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on March 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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