Individual provider Active NPI

Jackson W Kiser, MD

  • Diagnostic Radiology Physician
  • Roanoke, VA
National Provider Identifier
1659315158
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101055775 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7553
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101055775 VA Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

PO Box 12668
Roanoke, VA 24027-2668
Phone (540) 981-7553

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
I20050824000524 VA Practitioner - Diagnostic Radiology 0941231401 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

1 Health Cir
Lexington, VA 24450-2448
Phone (540) 462-1200

101 Elm Ave
Roanoke, VA 24013-2222
Phone (540) 224-4380

101 Elm Ave SE
FL 3
Roanoke, VA 24013-2222
Phone (540) 224-6780

150 Market Ridge LN
Daleville, VA 24083-3258
Phone (540) 966-0460

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

1935 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441

1955 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441

2001 Crystal Spring Ave
Suite 205
Roanoke, VA 24014-2462
Phone (540) 985-8505

2001 Crystal Spring Ave SW
FL 3
Roanoke, VA 24014-2462
Phone (540) 985-8505

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

2331 Franklin Rd SW
Roanoke, VA 24014-1111
Phone (540) 224-5170

2900 Lamb
700A
Christiansburg, VA 24073-6344
Phone (540) 731-7460

2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2992

3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170

3707 Brambleton Ave
Suite 3
Roanoke, VA 24018-3658
Phone (540) 772-7401

388 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone (276) 988-8700

425 S Magnolia Ave
Waynesboro, VA 22980-3629
Phone (540) 586-4723

428 S Magnolia Ave
Carilion Family Medicine Associated Physici
Waynesboro, VA 22980-3629
Phone (540) 949-8241

4348 Electric Rd
Roanoke, VA 24018-0720
Phone (540) 769-0976

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101055775VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Oct 19, 2015 Accepting new patients
Carilion Giles Community Hospital CurrentSince Dec 30, 2019 Accepting new patients
Carilion Medical Center CurrentSince Oct 19, 2015 Accepting new patients
Roanoke Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2009 Accepting new patients
Carilion Giles Community Hospital CurrentSince Dec 30, 2019 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Dec 30, 2019 Accepting new patients
Carilion Medical Center CurrentSince Oct 19, 2015 Accepting new patients
Carilion Healthcare Corporation CurrentSince Oct 19, 2015 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Oct 19, 2015 Accepting new patients
Virginia Highlands Radiology, P. C. Diagnostic Radiology Past Accepting new patients
Piedmont Diagnostic Radiology PC Diagnostic Radiology Past Accepting new patients

Locations

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

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

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

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

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

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

4330 Brambleton Ave
Roanoke, VA 24018
Phone (540) 283-3700

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

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506

Interoperability endpoints

  • Direct secure messaging: jkiser12877@direct.carilionclinic.org

Organizations & group practices 11

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 11

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1659315158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12668",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240272668",
            "telephone_number": "540-981-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "JACKSON",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101055775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.