Individual provider Active NPI

James R Mulinda, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Roanoke, VA
National Provider Identifier
1093797094
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101238787 Issued in VA
Practice address
3501 Colonial Green Circle
Roanoke, VA 24018
Phone
(540) 344-3276
Fax
(540) 342-4399
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101238787 VA Primary

Addresses

Primary practice location

3501 Colonial Green Circle
Roanoke, VA 24018

Mailing address

3501 Colonial Green Circle
Roanoke, VA 24018
Phone (540) 344-3276

Other identifiers 1

IdentifierTypeStateIssuer
010199387MedicaidVA

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
I20051102000223 VA Practitioner - Internal MedicinePractitioner - Endocrinology 3678590239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endocrinology Associates IncGroup PAC ID 7214954700, 4 clinicians

Practice addresses (Care Compare)

3501 Colonial Green Cir SW
Roanoke, VA 24018-3752
Phone (540) 344-3276

Hospital & facility affiliations

  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238787VAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology Associates Inc Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2005 Accepting new patients
Affinity Care of Virginia LLC PastSince Dec 5, 2021 Accepting new patients

Locations

1030 S Jefferson St
Ste 200
Roanoke, VA 24016
Phone (540) 344-3276

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJJECD/Endpoint/DJJECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJJECD
  • Direct secure messaging: james.mulinda@eai.eclinicaldirectplus.com

Organizations & group practices 2

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 2

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1093797094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 COLONIAL GREEN CIRCLE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-344-3276",
            "fax_number": "540-342-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 COLONIAL GREEN CIRCLE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-344-3276",
            "fax_number": "540-342-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULINDA",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101238787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010199387",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.