Active NPI
Waeil A Nur, MD
- Pediatrics Physician
- Roanoke, VA
National Provider Identifier
1285627067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101243880
- Practice address
- 21 Highland Ave SE
Suite 100
Roanoke, VA 24013-2201 - Phone
- (540) 344-9213
- Fax
- (540) 345-7559
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101243880 | VA | Primary |
Addresses
Primary practice location
21 Highland Ave SE
Suite 100
Roanoke, VA 24013-2201
Mailing address
21 Highland Ave SE
Suite 100
Roanoke, VA 24013-2201
Phone (540) 344-9213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13695 | Other | BLUE CROSS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | waeila.nur.p1@direct.physicianstochildren.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101243880 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians to Children, Inc. | Pediatrics | Current | Accepting new patients |
Locations
21 Highland Ave SE
Ste 100
Roanoke, VA 24013
Phone (540) 344-9213
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- waeila.nur.p1@direct.physicianstochildren.nextgenshare.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Roanoke, VA
- NPI 1649362351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1285627067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HIGHLAND AVE SE",
"address_2": "SUITE 100",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240132201",
"telephone_number": "540-344-9213",
"fax_number": "540-345-7559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HIGHLAND AVE SE",
"address_2": "SUITE 100",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240132201",
"telephone_number": "540-344-9213",
"fax_number": "540-345-7559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUR",
"first_name": "WAEIL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101243880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "13695",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "waeila.nur.p1@direct.physicianstochildren.nextgenshare.com",
"affiliation": "N",
"address_1": "21 Highland Ave SE",
"address_2": "Suite 100",
"city": "Roanoke",
"state": "VA",
"country_code": "US",
"postal_code": "240132201",
"country_name": "United States",
"address_type": "DOM"
}
],
"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, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.