PHILIP DETRANA PA
NPI 1063255586
Physician Assistant - Medical in Charlottesville, VA

Active since June 13, 2024PECOS EnrolledAccepts Medicare Assignment
1240 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-9333(434) 244-7526 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Jun 13, 2024 (2 updates tracked since 2024).

About Philip Detrana Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP DETRANA PA (NPI 1063255586) is an individual medical provider in Charlottesville, Virginia, licensed in Virginia (0110010146) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1063255586
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePHILIP DETRANACredential: PA
Location Address1240 LEE STCharlottesville, VA 22908-0816
Mailing AddressPo Box 749112Atlanta, GA 30374-9112
Fax(434) 244-7526
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 13, 2024
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1063255586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in VA · 0110010146
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 0110010146 (VA)
1240 LEE ST, Charlottesville, VA 22908

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-9333 · Fax (434) 244-7526

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Philip Detrana Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587101159
PECOS Enrollment IDI20240731002590
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Family)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology & Oncology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Obstetrics & Gynecology (Gynecologic Oncology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Detrana's NPI number?

The NPI number for Philip Detrana is 1063255586. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Philip Detrana located?

Philip Detrana practices at 1240 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-9333.

What is Philip Detrana's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Philip Detrana enrolled in Medicare?

Yes. Philip Detrana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Philip Detrana affiliated with any hospitals?

According to CMS data, Philip Detrana is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Detrana was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.