RADIOLOGY ASSOCIATES OF ROANOKE P C – Diagnostic Radiology Physician, NPI 1962442293
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RADIOLOGY ASSOCIATES OF ROANOKE P C
4504 STARKEY ROAD, SW
SUITE 200
ROANOKE, VA 240184035
Phone: (540) 266-9302
Fax: (540) 776-6856
Type: Mailing
PO BOX 71158
CHARLOTTE, NC 282721158
Phone: (540) 774-4055
Fax: (540) 776-6856
Type: Mailing
LewisGale Medical Center, 1900, Electric Road, Ridgewood Farm, Salem, Salem (city), Virginia, 24153, United States
SALEM, VA 241537474
Phone: (540) 776-4055
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: 2023-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (709 days ago).
Enrollment records
2
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20041130000584 | O | Clinic/Group Practice | VA | 2024-06-30 |
| O20230927001525 | O | Clinic/Group Practice | CA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 24018)
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