Mohamed Idrissi Kadiri, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101241526 Issued in VA

Practice address

205 Roanoke St
Christiansburg, VA 24073-3025

Phone

(540) 381-6000

Fax

(540) 381-2989

NPI assigned

Jan 24, 2007

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mohamed Qadiri Former name

Electronic endpoints 1

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

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Roanoke, VA, CCN 497429
• Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carilion Healthcare Corporation

  dba Bridgewater College Student Health Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1447206370
  Medicare reassignment Care Compare group NPD
• Carilion Healthcare Corporation

  • Durable Medical Equipment & Medical Supplies
  • Blacksburg, VA
  • NPI 1407667256
  NPD
• Washita Emergency Physicians LLC

  • Emergency Medicine Physician
  • Pauls Valley, OK
  • NPI 1932159233
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carilion New River Valley Medical Center

  • General Acute Care Hospital
  • Christiansburg, VA
  • NPI 1376536573
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  dba CenterWell Home Health

  • Home Health Agency
  • Roanoke, VA
  • NPI 1124059688
  Care Compare affiliation

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1437204740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ROANOKE ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733025",
            "telephone_number": "540-381-6000",
            "fax_number": "540-381-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ROANOKE ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733025",
            "telephone_number": "540-381-6000",
            "fax_number": "540-381-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIRI",
        "first_name": "MOHAMED",
        "middle_name": "IDRISSI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101241526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkadiri16456@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "mkadiri16456@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "205 Roanoke St",
            "city": "Christiansburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240733025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOHAMED",
            "last_name": "QADIRI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charlene Michele Jordan, FNP-BC, RN
• Adam Joyce
• Jaehoon D Jung, DMD
• Erin Marie Justis, LCSW
• Misty Justus, PA
• Rebecca Lynn Kager, DO
• Sara M Kalies, PA-C
• Madiha Mustafa Kamal, M.D.
• Trudy Ann Kantra, DO
• Lisa Kardel

• Family Medicine Physician in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.