Individual provider Active NPI

Joseph Waheb Iskandar, DO

  • Psychiatry Physician
  • Roanoke, VA
National Provider Identifier
1215252143
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0102202882 Issued in VA
Practice address
24 Walnut Ave SW
Roanoke, VA 24016-4719
Phone
(540) 344-5100
NPI assigned
Apr 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0102202882 VA Primary

Addresses

Primary practice location

24 Walnut Ave SW
Roanoke, VA 24016-4719

Mailing address

500 Glendale Rd
Galax, VA 24333-2208
Phone (540) 344-5100

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
I20150403000655 VA Practitioner - PsychiatryPractitioner - Addiction Medicine 1557505823 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Care and Resiliency, PLLCGroup PAC ID 5395135420, 6 clinicians

Practice addresses (Care Compare)

2250 Murrell Rd
Suite B6
Lynchburg, VA 24501-2141
Phone (540) 344-5300

2766 Electric Rd
Roanoke, VA 24018-3583
Phone (540) 344-5300

9 Radford St NW
Christiansburg, VA 24073-3340
Phone (540) 344-5300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102202882VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercept Youth Services, Inc CurrentSince Jul 26, 2016 Accepting new patients
DLP Twin County Physician Practices LLC Psychiatry CurrentSince Apr 10, 2018 Accepting new patients
Southside Behavioral Health Psychiatry CurrentSince Mar 1, 2017 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Apr 10, 2018 Accepting new patients
DLP Twin County Physician Practices LLC Current Accepting new patients
Arman C. Moshyedi, MD, PLLC Psychiatry CurrentSince Dec 24, 2020 Accepting new patients
Center for Care and Resiliency, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

9 Radford St NW
Christiansburg, VA 24073
Phone (540) 206-8958

2203 Graves Mill Rd
Ste B
Forest, VA 24551
Phone (434) 473-7393

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

10187 Brook Rd
Glen Allen, VA 23059
Phone (540) 523-8080

2250 Murrell Rd
Ste B6
Lynchburg, VA 24501
Phone (540) 344-5300

8405 Greensboro Dr
Ste 120
McLean, VA 22102
Phone (571) 359-1171

2758 Electric Rd
Ste E
Roanoke, VA 24018
Phone (540) 344-5300

2965 Colonnade Dr
Ste 307
Roanoke, VA 24018
Phone (540) 344-5300

2766 Electric Rd
Ste 201
Roanoke, VA 24018
Phone (540) 344-5300

5673 Airport Rd NW
Roanoke, VA 24012
Phone (540) 523-8055

590 W Ridge Rd
Ste H
Wytheville, VA 24382
Phone (276) 625-8866

Interoperability endpoints

  • Direct secure messaging: joseph.iskandar.2@18773.direct.athenahealth.com

Organizations & group practices 8

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": "1270339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1215252143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GLENDALE RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332208",
            "telephone_number": "540-344-5100",
            "fax_number": "540-344-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WALNUT AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164719",
            "telephone_number": "540-344-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDAR",
        "first_name": "JOSEPH",
        "middle_name": "WAHEB",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-04",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102202882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.