NPIMap

Organization Active NPI

Allergy & Immunology, PLC

Doing business as Asthma & Allergy Center

  • Allergy & Immunology Physician
  • Roanoke, VA
National Provider Identifier
1457423550
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY & IMMUNOLOGY, PLC
Doing business as
Asthma & Allergy Center
Asthma and Allergy Center
Practice address
1505 Franklin Rd SW
Roanoke, VA 24016-5206
Phone
(540) 343-7331
NPI assigned
Nov 14, 2006
Last updated
Oct 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Jason Call
Title
Practice Administrator
Phone
(540) 343-7331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 01010338172 VA
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

1505 Franklin Rd SW
Roanoke, VA 24016-5206

Mailing address

1505 Franklin Rd SW
Roanoke, VA 24016-5206
Phone (540) 343-7331

Other names 2

  • Asthma & Allergy Center Doing business as
  • Asthma and Allergy Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address saju.eapen@aacva.directbygreenway.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040827000034 VA Part B Supplier - Clinic/Group Practice 0547235285 Receives reassigned benefits from 13 practitioners
Practice locations: Lynchburg, VA; Roanoke, VA; Salem, VA

National Provider Directory

National Provider Directory

Locations

2015 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 528-2212

2015 Tate Springs Rd
Ste A2
Lynchburg, VA 24501
Phone (434) 846-2244

1505 Franklin Rd SW
Roanoke, VA 24016
Phone (540) 343-7331

Interoperability endpoints

  • Direct secure messaging: saju.eapen@aacva.directbygreenway.com

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1457423550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165206",
            "telephone_number": "540-343-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165206",
            "telephone_number": "540-343-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & IMMUNOLOGY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "540-343-7331"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "01010338172",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saju.eapen@aacva.directbygreenway.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1505 Franklin Rd SW",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240165206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Asthma & Allergy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Asthma & Allergy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Asthma and Allergy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.