NPIMap

Individual provider Active NPI

Anne M Jaeger, M.D.

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1497746887
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101051475 Issued in VA
Practice address
4461 Starkey Rd
Suite 201
Roanoke, VA 24018-0620
Phone
(540) 345-4946
Fax
(540) 982-7164
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101051475 VA Primary

Addresses

Primary practice location

4461 Starkey Rd
Suite 201
Roanoke, VA 24018-0620

Mailing address

4461 Starkey Rd
Suite 201
Roanoke, VA 24018-0620
Phone (540) 345-4946

Other identifiers 1

IdentifierTypeStateIssuer
VVN622AOtherMEDICARE-PALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000585 VA Practitioner - Internal Medicine 9436165586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Associates of Virginia PC 7 clinicians
Legacy Healthcare Services Inc 3,431 clinicians

Practice addresses (Care Compare)

1421 3Rd St SW
Roanoke, VA 24016-5204
Phone (540) 345-4946

3365 Ogden Rd
Roanoke, VA 24018-1151
Phone 5406827506506

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Roanoke, VA, CCN 497275
  • Centerwell Home Health Home health agency, Roanoke, VA, CCN 497429
  • Good Samaritan Hospice Inc Home health agency, Roanoke, VA, CCN 497818
  • Brandon Oaks at Home Home health agency, Roanoke, VA, CCN 497737
  • Good Samaritan Hospice Inc Hospice, Roanoke, VA, CCN 491510
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
  • Davis and McDaniel Veterans Care Center Nursing home, Roanoke, VA, CCN 495274

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Associates of Virginia PC Internal Medicine CurrentSince Apr 3, 2017 Accepting new patients

Locations

4461 Starkey Rd
Ste 201
Roanoke, VA 24018
Phone (540) 345-4946

1421 3rd St SW
Roanoke, VA 24016
Phone (540) 345-4946

Interoperability endpoints

  • Direct secure messaging: ajaeger@pav.ssdirect.aprima.com

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.

Hospital & facility affiliations 8

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1497746887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 STARKEY RD",
            "address_2": "SUITE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180620",
            "telephone_number": "540-345-4946",
            "fax_number": "540-982-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 STARKEY RD",
            "address_2": "SUITE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180620",
            "telephone_number": "540-345-4946",
            "fax_number": "540-982-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "ANNE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101051475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-PALMETTO GBA",
            "identifier": "VVN622A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.