Organization Active NPI

Desta Transportation

  • Non-emergency Medical Transport (VAN)
  • Roanoke, VA
National Provider Identifier
1043104227
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
DESTA TRANSPORTATION
Doing business as
Desta Transportation
Practice address
3620 Buckner Rd SW
Roanoke, VA 24015-4439
Phone
(240) 703-6888
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Assefa Feleke
Title
Mr.
Phone
(204) 703-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3620 Buckner Rd SW
Roanoke, VA 24015-4439

Mailing address

3620 Buckner Rd SW
Roanoke, VA 24015-4439
Phone (240) 703-6888

Other names 1

  • Desta Transportation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1043104227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 BUCKNER RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240154439",
            "telephone_number": "240-703-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 BUCKNER RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240154439",
            "telephone_number": "240-703-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTA TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "FELEKE",
        "authorized_official_first_name": "ASSEFA",
        "authorized_official_title_or_position": "MR.",
        "authorized_official_telephone_number": "204-703-6888"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desta Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.