Blue Ridge Medical Management Corporation
NPI 1811269640ActiveOrganization· Urology· Rural Retreat, VA
Urology in Rural Retreat, Virginia, registered in NPPES in February 2012. The authorized official on file is Carl Steven Kilgore, President.
Overview
| NPI | 1811269640 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2012 |
| Last updated in NPPES | Feb 14, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | 0024166068 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|