JOHN M STADNYK (M.D.) – Emergency Medicine Physician, NPI 1114017993

JOHN M STADNYK (M.D.) is a healthcare provider. based in Roanoke, Virginia. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101234785 (VA). The NPI Number for JOHN M STADNYK (M.D.) is 1114017993

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
JOHN M STADNYK (M.D.)
NPI
1114017993
Phone
(540) 981-7000
Address
1906 BELLEVIEW AVE SE
Enumeration Date
13 October 2006
Last Update Date
4 December 2018

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
5409708000
Graduation Year
1999 (27 years ago)
PAC ID
1951397132
Group Practice PAC ID
6406103498
Professional Enrollment ID
I20040422001248
Address ID
VA240180600CA2706XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

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Provider Addresses for JOHN M STADNYK (M.D.)

  • 1906, Belleview Avenue Southeast, Bellview Terrace, Roanoke, Roanoke (city), Virginia, 24014, United States

    EMERGENCY DEPT

    ROANOKE, VA 240141838

    Phone: (540) 981-7000

    Fax: (540) 981-9550

    Type: Location

  • Kilmarnock Post Office, 239, North Main Street, Kilmarnock, Lancaster County, Virginia, 22482, United States

    KILMARNOCK, VA 224822080

    Phone: (804) 435-3508

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040422001248IEmergency MedicineVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making175169$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only129126$0
99284Emergency department visit with moderate level of medical decision making6261$0
99291Critical care, first 30-74 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 24014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406103498View full group profile
NameSpecialtyState
Emergency MedicineNC
Emergency MedicineVA
Emergency MedicineVA
Physician AssistantVA
Emergency MedicineOH
Osteopathic Manipulative Medicine, Emergency MedicineVA
Nurse PractitionerMI
-VA
Emergency MedicineFL
Emergency MedicineVA

Reviews

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Frequently asked questions

Can I verify JOHN M STADNYK (M.D.) with an NPI only?
You can start verification with NPI 1114017993 for JOHN M STADNYK (M.D.), then check state licensing separately.
Can I rely on JOHN M STADNYK (M.D.) being an active provider?
As of the registry snapshot, JOHN M STADNYK (M.D.) is marked active.
What is JOHN M STADNYK (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for JOHN M STADNYK (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is JOHN M STADNYK (M.D.) based?
JOHN M STADNYK (M.D.) is tied to Roanoke, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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