Individual provider Active NPI

Gary Michael Rooker, D.O.

  • Psychiatry Physician
  • Christiansburg, VA
National Provider Identifier
1679630107
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0102050157 Issued in VA
Practice address
102 Miller St
Christiansburg, VA 24073-3612
Phone
(540) 381-5832
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Michigan State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 Eastridge Dr
Blacksburg, VA 24060-8568
Phone (540) 320-1120

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20070418000197 VA Practitioner - Psychiatry 6103921267 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102050157VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alleghany Highlands Community Services CurrentSince Aug 1, 2012 Accepting new patients
Rooker Psychiatric Services, PC Psychiatry CurrentSince Mar 18, 2013 Accepting new patients
Alleghany Highlands Community Services Past Accepting new patients
Healing Waters Counseling Center Past Accepting new patients
Chapman Senior Care, Inc. PastSince Apr 9, 2011 Accepting new patients

Locations

102 Miller St SE
Christiansburg, VA 24073
Phone (540) 320-1120

543 Church St
Clifton Forge, VA 24422
Phone (540) 863-1620

311 S Monroe Ave
Covington, VA 24426
Phone (540) 863-1620

205 E Hawthorne St
Covington, VA 24426
Phone (540) 965-2135

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0102050157 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

102 Miller St
Christiansburg, VA 24073-3612

Mailing address

102 Miller St
Christiansburg, VA 24073-3612
Phone (540) 381-5832

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
193972000OtherMAGELLAN
098613OtherVALUE OPTIONS
7113048MedicaidVA
208744OtherVAANTHEM BLUE CROSS SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679630107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MILLER ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733612",
            "telephone_number": "540-381-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MILLER ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733612",
            "telephone_number": "540-381-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOKER",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102050157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "193972000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "098613",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7113048",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS SHIELD",
            "identifier": "208744",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.