Individual provider Active NPI

James H. Gardner, M.D.

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1073504452
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101044992 Issued in VA
Practice address
4461 Starkey Rd
Ste 201
Roanoke, VA 24018-0622
Phone
(540) 345-4946
Fax
(540) 982-7164
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101044992 VA Primary

Addresses

Primary practice location

4461 Starkey Rd
Ste 201
Roanoke, VA 24018-0622

Mailing address

4461 Starkey Rd
Ste 201
Roanoke, VA 24018-0622
Phone (540) 345-4946

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602001064 VA Practitioner - Internal Medicine 6709892854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Associates of Virginia PCGroup PAC ID 3870578214, 7 clinicians

Practice addresses (Care Compare)

1421 3Rd St SW
Roanoke, VA 24016-5204
Phone (540) 345-4946

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Roanoke, VA, CCN 497275
  • Enhabit Home Health (Roanoke) Home health agency, Roanoke, VA, CCN 497608
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Associates of Virginia PC Internal Medicine CurrentSince Apr 17, 2017 Accepting new patients

Locations

4461 Starkey Rd
Ste 201
Roanoke, VA 24018
Phone (540) 345-4946

1421 3rd St SW
Roanoke, VA 24016
Phone (540) 345-4946

Interoperability endpoints

  • Direct secure messaging: jgardner@pav.ssdirect.aprima.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1073504452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 STARKEY RD",
            "address_2": "STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180622",
            "telephone_number": "540-345-4946",
            "fax_number": "540-982-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 STARKEY RD",
            "address_2": "STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180622",
            "telephone_number": "540-345-4946",
            "fax_number": "540-982-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JAMES",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101044992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.