CATHERINE A BINGHAM MD
NPI 1366489833
Pediatrics - Pediatric Rheumatology in Charlottesville, VA
NPI Status: Active since June 01, 2006
Contact Information
1204 W MAIN ST
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 924-1906
- Individual
- Female
- Years of Experience 28
- Pediatrics
- Pediatric Rheumatology
- May Accept Medicare Approved Payment
- PECOS Enrolled
About CATHERINE BINGHAM
This page provides the complete NPI Profile along with additional information for Catherine Bingham, a pediatrician established in Charlottesville, Virginia with a medical specialization in Pediatrics, focusing in pediatric rheumatology and more than 28 years of experience. She graduated from University Of Virginia School Of Medicine in 1998. The healthcare provider is registered in the NPI registry with number 1366489833 assigned on June 2006. The practitioner's primary taxonomy code is 2080P0216X with license number 0101285587 (VA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1366489833
- Provider Name
- CATHERINE A BINGHAM MD
- Other Name
- APRIL BINGHAM MD
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1204 W MAIN ST CHARLOTTESVILLE, VA 22903
- Location Phone
- (434) 924-1906
- Mailing Address
- PO BOX 749112 ATLANTA, GA 30374
- Mailing Phone
- (434) 295-1000
- Medical School Name
- UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
- Graduation Year
- 1998
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-01-2006
- Last Update Date
- 06-30-2025
- Code Navigator
A pediatrician like Catherine Bingham is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 500 University Dr
Hershey, PA 17033
(717) 531-8882 - 1210 S Cedar Crest Blvd Ste 2400
Allentown, PA 18103
(610) 402-3888 - 1215 Lee St
Charlottesville, VA 22908
(434) 924-1906
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
Pediatrics Pediatric Rheumatology
- Taxonomy Code
- 2080P0216X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101285587
- License State
- VA
- Taxonomy Description
- A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0216X | Allopathic & Osteopathic Physicians | Pediatrics | MD425220 (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 1011012340001 | MEDICAID (05) | PA |
Medicare Participation & PECOS Enrollment Status
Catherine Bingham is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Catherine Bingham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2961464524
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250529002327
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366489833, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 77 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHARLOTTESVILLE, VA 22903
CHARLOTTESVILLE, VA 22903
CHARLOTTESVILLE, VA 22903
CHARLOTTESVILLE, VA 22903
CHARLOTTESVILLE, VA 22903
CHARLOTTESVILLE, VA 22903
CHARLOTTESVILLE, VA 22903
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366489833, enumerated as an "individual" on June 01, 2006.
The provider is located at 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 and the phone number is (434) 924-1906.
Pediatrics with taxonomy code 2080P0216X and a focus in Pediatric Rheumatology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
