Carilion Rockbridge Community Hospital - Carilion Clinic Physical Medicine – Multi-Specialty Clinic/Center, NPI 1174636021
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Carilion Rockbridge Community Hospital - Carilion Clinic Physical Medicine
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone: (540) 224-5452
Fax: (540) 224-5684
Type: Mailing
Carilion Administrative Services Building, 213, South Jefferson Street, Cedar Bluff, Roanoke, Roanoke (city), Virginia, 24011, United States
SUITE 801
ROANOKE, VA 240111705
Phone: (540) 224-5125
Fax: (540) 985-4948
Type: Mailing
Carilion Stonewall Jackson Hospital, 1, Health Circle, Lexington, Lexington City, Virginia, 24450, United States
LEXINGTON, VA 244502448
Phone: (540) 224-5125
Fax: (540) 985-4948
Type: Location
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: 2025-03-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 29 Medicare enrollment records; no due dates published yet.
Enrollment records
29
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210111001768 | O | Clinic/Group Practice | FL | TBD |
| O20210127001868 | O | Clinic/Group Practice | OH | TBD |
| O20231014000588 | O | Clinic/Group Practice | NC | TBD |
| O20231016002365 | O | Clinic/Group Practice | TN | TBD |
| O20231019000166 | O | Clinic/Group Practice | MD | TBD |
| O20231120001633 | O | Clinic/Group Practice | MS | TBD |
| O20231218000232 | O | Clinic/Group Practice | DC | TBD |
| O20240123004277 | O | Clinic/Group Practice | TX | TBD |
| O20240219003134 | O | Clinic/Group Practice | NJ | TBD |
| O20240301003779 | O | Clinic/Group Practice | CA | TBD |
| O20240416001844 | O | Clinic/Group Practice | ID | TBD |
| O20240510002014 | O | Clinic/Group Practice | GA | TBD |
| O20240515003930 | O | Clinic/Group Practice | IL | TBD |
| O20241003002897 | O | Clinic/Group Practice | RI | TBD |
| O20241009000896 | O | Clinic/Group Practice | CO | TBD |
| O20241017001911 | O | Clinic/Group Practice | NM | TBD |
| O20241112001915 | O | Clinic/Group Practice | HI | TBD |
| O20241112002398 | O | Clinic/Group Practice | MA | TBD |
| O20241112003342 | O | Clinic/Group Practice | NY | TBD |
| O20241112004269 | O | Clinic/Group Practice | PA | TBD |
| O20241114000737 | O | Clinic/Group Practice | NV | TBD |
| O20241114001221 | O | Clinic/Group Practice | OR | TBD |
| O20241121002430 | O | Clinic/Group Practice | WA | TBD |
| O20241203001778 | O | Clinic/Group Practice | SC | TBD |
| O20241203001835 | O | Clinic/Group Practice | KS | TBD |
| O20241205000703 | O | Clinic/Group Practice | MI | TBD |
| O20241223002017 | O | Clinic/Group Practice | UT | TBD |
| O20250130002883 | O | Clinic/Group Practice | WI | TBD |
| O20250314003502 | O | Clinic/Group Practice | PR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 24011)
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