Organization Active NPI

Endocrinology Associates Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Roanoke, VA
National Provider Identifier
1275613473
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINOLOGY ASSOCIATES INC
Practice address
3501 Colonial Green Cir SW
Roanoke, VA 24018-3752
Phone
(540) 344-3276
Fax
(540) 342-4399
NPI assigned
Oct 16, 2006
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Carl H Bivens Jr., MDNPI 1538153796
Title
President
Phone
(540) 344-3276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

3501 Colonial Green Cir SW
Roanoke, VA 24018-3752

Mailing address

3501 Colonial Green Cir SW
Roanoke, VA 24018-3752
Phone (540) 344-3276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000917 VA Part B Supplier - Clinic/Group Practice 7214954700 Receives reassigned benefits from 6 practitioners
Practice locations: Roanoke, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0231349Endocrinology Associates Inc3501 Colonial Green Circle SW, Roanoke, VA 24018AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

1030 S Jefferson St
Ste 200
Roanoke, VA 24016
Phone (540) 344-3276

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJJECD

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1275613473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 COLONIAL GREEN CIR SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183752",
            "telephone_number": "540-344-3276",
            "fax_number": "540-342-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 COLONIAL GREEN CIR SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183752",
            "telephone_number": "540-344-3276",
            "fax_number": "540-342-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "BIVENS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-344-3276",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.