NPIMap

Individual provider Active NPI

Caroline Morton Chisholm, MD

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1134546070
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101262106 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7000
NPI assigned
Mar 27, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 0101262106 VA Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

PO Box 12385
Roanoke, VA 24025-2385
Phone (540) 981-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712002210 VA Practitioner - Internal Medicine 8426342593 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eventus Premier Healthcare LLCGroup PAC ID 6305381013, 105 clinicians
Eventus WH Mid-Atlantic Care LLCGroup PAC ID 8921534744, 89 clinicians

Practice addresses (Care Compare)

250 Browns Hill CT
Midlothian, VA 23114-9510
Phone (855) 743-2247

4701 Cox Rd
Suite 285
Glen Allen, VA 23060-6808
Phone (855) 743-2247

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101262106VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus WH Mid-Atlantic Care LLC CurrentSince Oct 22, 2024 Accepting new patients
Carilion Medical Center CurrentSince Jul 9, 2017 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jun 10, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 4, 2019 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 9, 2017 Accepting new patients
Eventus Premier Healthcare LLC CurrentSince Aug 1, 2024 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 9, 2017 Accepting new patients
Premier Geriatric Solutions PLLC CurrentSince Mar 18, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 4, 2019 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Dec 1, 2025 Accepting new patients
Eventus WH Mid-Atlantic, LLC CurrentSince Oct 1, 2024 Accepting new patients
Carilion Medical Center CurrentSince Jul 9, 2017 Accepting new patients
Hospitalist Medicine Physicians of Washington Tacoma PLLC Internal Medicine CurrentSince Mar 15, 2024 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jun 10, 2020 Accepting new patients
Danville Healthcare Group, Inc. Past Accepting new patients

Locations

4701 Cox Rd
Ste 285
Glen Allen, VA 23060
Phone (540) 255-3881

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

160 Kendal Dr
Lexington, VA 24450
Phone (540) 463-1910

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brian Center of AlleghanyLow Moor, VA, CCN 495221 Skilled nursing facility Adp of the SNF Apr 9, 2025
Mulberry Creek Nursing & Rehab CenterMartinsville, VA, CCN 495426 Skilled nursing facility Adp of the SNF Apr 9, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134546070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12385",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240252385",
            "telephone_number": "540-981-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "CAROLINE",
        "middle_name": "MORTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101262106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.