Active NPI
Eliud Irizarry Claudio, M.D.
- Neurology Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101271055
- Practice address
- 3 Riverside Cir
Roanoke, VA 24016-4955 - Phone
- (540) 224-5170
- Fax
- (540) 985-9427
- NPI assigned
- Oct 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 016446 | PR | |
| Neurology Physician | 2084N0400X | 016446 | PR | |
| Neurology Physician | 2084N0400X | 0101271055 | VA | Primary |
Addresses
Primary practice location
3 Riverside Cir
Roanoke, VA 24016-4955
Mailing address
213 S Jefferson St Ste 625
Roanoke, VA 24011-1713
Phone (540) 224-5516
Other practice location 1
1753 Fulton St
Suite A
Elkhart, IN 46514-1927
Phone (574) 293-9448
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01616094 | Other | IN | RR MEDICARE |
| 000000789640 | Other | IN | ANTHEM BCBS |
| 000000885703 | Other | IN | ANTHEM BCBS |
| 201120720 | Medicaid | IN |
Other names 1
- Dr. Eliud Irizarry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1770 Skylyn Dr
Spartanburg, SC 29307-1045
Phone (864) 577-9107
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016446 | PR | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| 0101271055 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Neurology | Current | Accepting new patients |
| BG Neurology LLC | Current | Accepting new patients |
Locations
1071 Boiling Springs Rd
Spartanburg, SC 29303
Phone (864) 278-7088
1770 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 582-7200
3 Riverside Cir
Roanoke, VA 24016
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
Interoperability endpoints
- eirizarry130906@direct.carilionclinic.org
- eirizarry@mybeacon.cernerdirect.com
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 and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Spartanburg, SC
- NPI 1518366483
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Spartanburg Medical Center- Psychiatric Unit
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
dba Spartanburg Medical Center-Center for Rehabilitative Medicine
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1508950122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 625",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5516",
"fax_number": "540-224-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RIVERSIDE CIR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164955",
"telephone_number": "540-224-5170",
"fax_number": "540-985-9427"
}
],
"practiceLocations": [
{
"address_1": "1753 Fulton St",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465141927",
"country_code": "US",
"telephone_number": "574-293-9448",
"fax_number": "574-293-9480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRIZARRY CLAUDIO",
"first_name": "ELIUD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "PR",
"license": "016446",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "016446",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101271055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01616094",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000789640",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000885703",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201120720",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIUD",
"last_name": "IRIZARRY",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 8, 2021; 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.