Individual provider Active NPI

Mark E. Roeser, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charlottesville, VA
National Provider Identifier
1114127123
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
0101258480 Issued in VA
Practice address
Lee St FL 2
Charlottesville, VA 22908-0001
Phone
(434) 243-6828
Fax
(434) 244-7588
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X N9771 TX
Emergency Medicine Physician 207P00000X N9771 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101258480 VA Primary

Addresses

Primary practice location

Lee St FL 2
Charlottesville, VA 22908-0001

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151111000838 VA Practitioner - Thoracic SurgeryPractitioner - Cardiac SurgeryPractitioner - Vascular SurgeryPractitioner - General Surgery 4082880372 Reassigns benefits to 2 organizations
I20250317002611 NC Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 4082880372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

1001 Blythe Blvd
Suite 500
Charlotte, NC 28203-5863
Phone (704) 373-1813

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Carolinas Physicians Network Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 2, 2025 Accepting new patients
Children'S Surgical Specialty Group, Inc CurrentSince Apr 16, 2017 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 2, 2025 Accepting new patients
University of Virginia Physicians Group CurrentSince Jul 3, 2015 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients

Locations

1001 Blythe Blvd
Ste 500
Charlotte, NC 28203
Phone (704) 355-5100

134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100

Lee St
Fl 2
Charlottesville, VA 22908
Phone (434) 243-6828

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

Interoperability endpoints

  • Direct secure messaging: mroeser2961084@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1114127123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEE ST FL 2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080001",
            "telephone_number": "434-243-6828",
            "fax_number": "434-244-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESER",
        "first_name": "MARK",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N9771",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9771",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101258480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.