DR. JOHN WILLIAM SUMMERVILLE MD
NPI 1982604120
Pathology - Anatomic Pathology & Clinical Pathology in Petersburg, VA

Active since July 29, 2005
73.51/100
CMS Quality Rating
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805(615) 221-4400 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2019, Sep 28, 2018 (2 updates tracked since 2018).

About Dr. John William Summerville Md NPPES

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

DR. JOHN WILLIAM SUMMERVILLE MD (NPI 1982604120) is an individual anatomic pathology & clinical pathology provider in Petersburg, Virginia, licensed in Virginia (0101041829) and active in the NPI registry since July 2005. He maintains a secondary practice location in Petersburg.

NPPES Registry Identity

NPI1982604120
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JOHN WILLIAM SUMMERVILLECredential: MD
Location Address200 MEDICAL PARK BLVDPetersburg, VA 23805
Mailing Address5301 Virginia Way Ste 300Brentwood, TN 37027-7542 · (615) 221-4400
Sole ProprietorNo
Enumeration DateJuly 29, 2005
Last NPPES UpdateJune 10, 20192 updates tracked since enumeration
NPI 1982604120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in VA · 0101041829
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
200 MEDICAL PARK BLVD, Petersburg, VA 23805

Secondary Practice Location 1

Location 1200 Medical Park BlvdPetersburg, VA 23805-9274 · Phone (804) 765-5000

Other Identifiers 1

Medicaid006603858VA

Accepted Insurance

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.83
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Internal Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Emergency Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Emergency Medicine
200 MEDICAL PARK BLVD, EMERGENCY DEPARTMENT
PETESBURG, VA 23805
Nurse Anesthetist, Certified Registered
200 MEDICAL PARK BLVD, SOUTHSIDE REGIONAL MEDICAL CENTER
PETERSBURG, VA 23805
Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805

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 John Summerville's NPI number?

The NPI number for John Summerville is 1982604120. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is John Summerville located?

John Summerville practices at 200 Medical Park Blvd, Petersburg, VA 23805. The listed phone number is (615) 221-4400.

What is John Summerville's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

What insurance does John Summerville accept?

Health plans from Oscar Insurance Company list John Summerville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Summerville was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.