Individual provider Active NPI

Zachariah Kachemov, NP

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1306765862
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024198057 Issued in VA
Practice address
4633 Brambleton Ave Ste 100
Roanoke, VA 24018-3410
Phone
(540) 655-1888
Fax
(844) 212-0402
NPI assigned
Jul 10, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024198057 VA Primary

Addresses

Primary practice location

4633 Brambleton Ave Ste 100
Roanoke, VA 24018-3410

Mailing address

4633 Brambleton Ave Ste 100
Roanoke, VA 24018-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Valley ENT & Allergy PC CurrentSince Jul 10, 2026 Accepting new patients

Locations

4633 Brambleton Ave
Ste 100
Roanoke, VA 24018
Phone (540) 968-7368

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.

NPI Registry JSON

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1306765862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 BRAMBLETON AVE STE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 BRAMBLETON AVE STE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183410",
            "telephone_number": "540-655-1888",
            "fax_number": "844-212-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHEMOV",
        "first_name": "ZACHARIAH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024198057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.