NPIMap

Individual provider Active NPI

Michael Timothy Quinn

  • Gastroenterology Physician
  • Christiansburg, VA
National Provider Identifier
1225370893
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0102203981 Issued in VA
Practice address
110 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone
(540) 382-9405
NPI assigned
Mar 21, 2013
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102203981 VA
Student in an Organized Health Care Education/Training Program 390200000X A63006405 VA
Gastroenterology Physician 207RG0100X 0102203981 VA Primary

Addresses

Primary practice location

110 Akers Farm Rd
Christiansburg, VA 24073-4863

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice location 1

202 Duke of Gloucester St.
Roanoke, VA 24014-2401
Phone (540) 339-9284

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
I20200814001615 VA Practitioner - Gastroenterology 5799910329 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians

Practice addresses (Care Compare)

1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 772-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy158
Upper gastrointestinal (GI) endoscopy for acid reflux478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63006405VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Medical Group CurrentSince May 22, 2023 Accepting new patients
Augusta Medical Group CurrentSince May 22, 2023 Accepting new patients
Danville Physician Practices LLC CurrentSince Jun 1, 2023 Accepting new patients
Gastroenterology Consultants of Gastroenterology CurrentSince Aug 7, 2020 Accepting new patients
Danville Physician Practices LLC Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Lewis Gale Physicians LLC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

70 Medical Center Cir
Ste 302
Fishersville, VA 22939
Phone (540) 221-7350

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

9 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 245-7350

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465

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

202 Duke Gloucester St SW
Roanoke, VA 24014
Phone (540) 345-4900

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: michael.quinn.1@14718.direct.athenahealth.com
  • Direct secure messaging: michael.quinn@hca6.eclinicaldirectplus.com
  • Direct secure messaging: mquinn51757@direct.carilionclinic.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1225370893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 AKERS FARM RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734863",
            "telephone_number": "540-382-9405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Duke of Gloucester St.",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240142401",
            "country_code": "US",
            "telephone_number": "540-339-9284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "MICHAEL",
        "middle_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102203981",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "A63006405",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0102203981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.