Active NPI
Fahim Fahim, M.D.
- Psychiatry Physician
- Roanoke, VA
National Provider Identifier
1033183801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101231772
- Practice address
- 510 Stoneledge Dr
Roanoke, VA 24019-8682 - Phone
- (540) 391-1085
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101231772 | VA | |
| Psychiatry Physician | 2084P0800X | 0101231772 | VA | Primary |
Addresses
Primary practice location
510 Stoneledge Dr
Roanoke, VA 24019-8682
Mailing address
103 Valley Center Dr
Staunton, VA 24401-5080
Phone (540) 332-8139
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081024 | Other | VA | SENTARA |
| 2182262 | Other | VA | CIGNA |
| 246008 | Other | VA | HEALTHKEEPERS |
| 004945263 | Medicaid | VA | |
| 246008 | Other | VA | ANTHEM |
| 537848000 | Other | VA | MEGALLAN |
| 4945263 | Other | VA | VIGINIA PREMIER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ffahim9990@direct.carilionclinic.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1033183801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 VALLEY CENTER DR",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244015080",
"telephone_number": "540-332-8139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 STONELEDGE DR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240198682",
"telephone_number": "540-391-1085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHIM",
"first_name": "FAHIM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101231772",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101231772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "081024",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2182262",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHKEEPERS",
"identifier": "246008",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945263",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "246008",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEGALLAN",
"identifier": "537848000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIGINIA PREMIER",
"identifier": "4945263",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.