Individual provider Active NPI

Anthony Stavola, MD

  • Family Medicine Physician
  • Roanoke, VA
National Provider Identifier
1497727531
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101029765 Issued in VA
Practice address
6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone
(540) 265-5500
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101029765 VA Primary

Addresses

Primary practice location

6415 Peters Creek Rd
Roanoke, VA 24019-4021

Mailing address

1836 Greenwood Rd SW
Roanoke, VA 24015-2820

Other identifiers 1

IdentifierTypeStateIssuer
005648955MedicaidVA

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
I20080814000154 VA Practitioner - Family Practice 6709951478 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Jul 14, 2008 Accepting new patients
Carilion Giles Community Hospital CurrentSince May 13, 2024 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 14, 2008 Accepting new patients
Carilion Medical Center CurrentSince Jun 16, 2019 Accepting new patients
Carilion Medical Center CurrentSince Jun 16, 2019 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince May 13, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince May 13, 2024 Accepting new patients

Locations

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

2145 Mount Pleasant Blvd SE
Roanoke, VA 24014
Phone (540) 427-3020

1314 Peters Creek Rd NW
Roanoke, VA 24017
Phone (540) 427-9200

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

Interoperability endpoints

  • Direct secure messaging: astavola5176@direct.carilionclinic.org

Organizations & group practices 7

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1497727531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 GREENWOOD RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194021",
            "telephone_number": "540-265-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVOLA",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101029765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005648955",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.