Active NPI
Paul W Lenkowski Jr., M.D.PH.D.
- Otolaryngology Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 0101247485
- Practice address
- 4633 Brambleton Ave Ste 100
Roanoke, VA 24018-3410 - Phone
- (540) 968-7368
- Fax
- (844) 212-0402
- NPI assigned
- May 22, 2007
- Last updated
- Apr 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 0101247485 | VA | Primary |
Addresses
Primary practice location
4633 Brambleton Ave Ste 100
Roanoke, VA 24018-3410
Mailing address
PO Box 8310
Roanoke, VA 24014-0310
Phone (540) 345-3556
Other practice location 1
1902 Braeburn Dr Ste 130
Salem, VA 24153-7304
Phone (540) 444-8100
Other practice location 2
2154 McVitty Rd SW Fl 2
Roanoke, VA 24018-1642
Phone (540) 968-7368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497964886 | Medicaid | VA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Virginia School of Medicine, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4633 Brambleton Ave
Suite 100
Roanoke, VA 24018-3410
Phone (540) 968-7368
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101247485 | VA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roanoke Valley ENT & Allergy PC | Otolaryngology | Current | Accepting new patients |
| Synergy Surgicalists LLC | Past | Accepting new patients |
Locations
4633 Brambleton Ave
Ste 100
Roanoke, VA 24018
Phone (540) 968-7368
2154 McVitty Rd SW
Fl 2
Roanoke, VA 24018
Phone (540) 968-7368
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.
-
- Otolaryngology Physician
- Roanoke, VA
- NPI 1174005417
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1114334422
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carilion Roanoke Memorial Hospital
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1497964886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8310",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240140310",
"telephone_number": "540-345-3556",
"fax_number": "540-342-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4633 BRAMBLETON AVE STE 100",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183410",
"telephone_number": "540-968-7368",
"fax_number": "844-212-0402"
}
],
"practiceLocations": [
{
"address_1": "1902 Braeburn Dr Ste 130",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "VA",
"postal_code": "241537304",
"country_code": "US",
"telephone_number": "540-444-8100",
"fax_number": "540-772-2583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2154 McVitty Rd SW Fl 2",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240181642",
"country_code": "US",
"telephone_number": "540-968-7368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENKOWSKI",
"first_name": "PAUL",
"middle_name": "W",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VA",
"license": "0101247485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497964886",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 27, 2023; 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.