Individual provider Active NPI

Robert F Obrien, MD

  • Diagnostic Radiology Physician
  • Roanoke, VA
National Provider Identifier
1265476659
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101050651 Issued in VA
Practice address
2107 Rosalind Ave SW
Roanoke, VA 24014-1717
Phone
(540) 904-6170
NPI assigned
Jun 15, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101050651 VA Primary

Addresses

Primary practice location

2107 Rosalind Ave SW
Roanoke, VA 24014-1717

Mailing address

PO Box 12526
Roanoke, VA 24026-2526
Phone (540) 904-6170

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
I20041112000139 VA Practitioner - Diagnostic Radiology 2163402017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Image Guided Pain Management, P.C.Group PAC ID 8729269048, 4 clinicians

Practice addresses (Care Compare)

2923 Franklin Rd SW
Roanoke, VA 24014-1001
Phone (540) 581-0882

Merit-based Incentive Payment System (MIPS)

Final score
96.9 of 100Reported as individual
Quality
93.8
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Image Guided Pain Management, P.C. Diagnostic Radiology CurrentSince Nov 1, 2010 Accepting new patients
Doctors Weaver & Weaver P C Past Accepting new patients
Medical Imaging Specialists, PC Diagnostic Radiology Past Accepting new patients
Image Guided Therapeutics, PC PastSince Jan 1, 2003 Accepting new patients
Weaver Neurosurgical Spine, PC Past Accepting new patients
Center for Surgical Excellence LLC Past Accepting new patients

Locations

2923 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 563-9840

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1265476659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12526",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240262526",
            "telephone_number": "540-904-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 ROSALIND AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141717",
            "telephone_number": "540-904-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "ROBERT",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101050651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.