Individual provider Active NPI

Chad W Mosby, M.D.

  • Emergency Medicine Physician
  • Roanoke, VA
National Provider Identifier
1437503836
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101263567 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(704) 614-0233
NPI assigned
Apr 21, 2016
Last updated
May 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101263567 VA Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Other practice location 1

1 ARH Lane
Low Moor, VA 24457
Phone (540) 862-6011

Other practice location 2

2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone (540) 994-8100

Other practice location 3

2706 Ogden Rd
Cave Spring, VA 24018-0600
Phone (540) 970-8000

Other practice location 4

1900 Electric Rd
Salem, VA 24153-7494
Phone (540) 776-4000

Other practice location 5

3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111

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
I20190718001688 VA Practitioner - Emergency Medicine 7719273424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Spring Emergency Group LLCGroup PAC ID 6406103498, 51 clinicians

Practice addresses (Care Compare)

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wildwood Emergency Group, LLC Emergency Medicine CurrentSince Sep 2, 2023 Accepting new patients
Lake Spring Emergency Group, LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

2706 Ogden Rd
Roanoke, VA 24018
Phone (540) 970-8000

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1437503836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "704-614-0233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 ARH Lane",
            "address_purpose": "LOCATION",
            "city": "Low Moor",
            "state": "VA",
            "postal_code": "24457",
            "country_code": "US",
            "telephone_number": "540-862-6011",
            "fax_number": "540-862-6472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Lee Hwy N",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "VA",
            "postal_code": "243012326",
            "country_code": "US",
            "telephone_number": "540-994-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2706 Ogden Rd",
            "address_purpose": "LOCATION",
            "city": "Cave Spring",
            "state": "VA",
            "postal_code": "240180600",
            "country_code": "US",
            "telephone_number": "540-970-8000",
            "fax_number": "540-776-4785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537494",
            "country_code": "US",
            "telephone_number": "540-776-4000",
            "fax_number": "540-776-4196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 S Main St",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240607017",
            "country_code": "US",
            "telephone_number": "540-951-1111",
            "fax_number": "540-953-5295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSBY",
        "first_name": "CHAD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101263567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.