Individual provider Active NPI

Albert W Parulis Jr., DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Roanoke, VA
National Provider Identifier
1003886912
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401411233 Issued in VA
Practice address
6027 Peters Creek Rd
Roanoke, VA 24019
Phone
(540) 362-5900
Fax
(540) 366-5131
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401411233 VA Primary

Addresses

Primary practice location

6027 Peters Creek Rd
Roanoke, VA 24019

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 362-5900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aparulis5349@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060330000544 VA Practitioner - Oral Surgery 7719995869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roanoke Oral Surgery IncGroup PAC ID 1456314681, 4 clinicians

Practice addresses (Care Compare)

3229 Brandon Ave SW
Roanoke, VA 24018-1547
Phone (540) 362-5900

6035 Peters Creek Rd
Roanoke, VA 24019-4029
Phone (540) 362-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401411233VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jun 1, 2013 Accepting new patients
Carilion Medical Center CurrentSince Jun 1, 2013 Accepting new patients
Roanoke Oral Surgery, Inc. Oral and Maxillofacial Surgery CurrentSince Feb 1, 2006 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

6035 Peters Creek Rd
Roanoke, VA 24019
Phone (540) 362-5900

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

3229 Brandon Ave SW
Roanoke, VA 24018
Phone (540) 362-5900

6027 Peters Creek Rd
Roanoke, VA 24019
Phone (540) 362-5900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1003886912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-362-5900",
            "fax_number": "540-366-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24019",
            "telephone_number": "540-362-5900",
            "fax_number": "540-366-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARULIS",
        "first_name": "ALBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401411233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aparulis5349@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "aparulis5349@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1111 S Jefferson St",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240164724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.