Individual provider Active NPI

Roger P Wiley Jr., M.D.

  • Diagnostic Radiology Physician
  • Virginia Beach, VA
National Provider Identifier
1710907662
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101035462 Issued in VA
Practice address
336 Whiting LN
Virginia Beach, VA 23456-4451
Phone
(208) 416-2932
NPI assigned
Jul 20, 2006
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 0101035462 VA Primary

Addresses

Primary practice location

336 Whiting LN
Virginia Beach, VA 23456-4451

Mailing address

22100 Bothell Everett Hwy
Bothell, WA 98021-8431
Phone (208) 416-2932

Other identifiers 3

IdentifierTypeStateIssuer
0123539000MedicaidWV
1710907662MedicaidVA
007244037MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050909000078 VA Practitioner - Diagnostic Radiology 2567494610 Reassigns benefits to 15 organizations
I20210430001975 NY Practitioner - Diagnostic Radiology 2567494610 Reassigns benefits to 2 organizations
I20250814002064 TX Practitioner - Diagnostic Radiology 2567494610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
RG Sherry MD PLLCGroup PAC ID 6002138294, 2 clinicians
North Country Neurology PCGroup PAC ID 6608855416, 5 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Mercy Diagnostic Imaging PCGroup PAC ID 1153233283, 91 clinicians
X-Ray Professional AssociationGroup PAC ID 3375539927, 62 clinicians
Winchester Radiologists PCGroup PAC ID 7113915281, 77 clinicians

Practice addresses (Care Compare)

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

1340 Washington St
Watertown, NY 13601-4541
Phone (315) 782-9003

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

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

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

336 Whiting LN
Virginia Beach, VA 23456-4451
Phone (325) 747-5250

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Sep 29, 2024 Accepting new patients
RG Sherry MD, PLLC Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
North Platte Nebraska Hospital Corporation Diagnostic Radiology CurrentSince Sep 9, 2024 Accepting new patients
Direct Radiology PLLC Diagnostic Radiology CurrentSince Sep 27, 2017 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Carilion Giles Community Hospital Current Accepting new patients
Winchester Radiologists PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Centra Health Professional Services, LLC CurrentSince Aug 23, 2023 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Nov 10, 2020 Accepting new patients
North Country Neurology PC CurrentSince Jun 1, 2021 Accepting new patients
Mercy Diagnostic Imaging PC Diagnostic Radiology CurrentSince Jun 24, 2024 Accepting new patients
South Florida Medical Imaging, PA Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Centra Medical Group, LLC CurrentSince Aug 23, 2023 Accepting new patients
Carilion Medical Center CurrentSince Sep 29, 2024 Accepting new patients
Shannon Clinic Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
St Luke's Clinic LLC CurrentSince Aug 1, 2021 Accepting new patients
X-Ray Professional Association Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Radiology Consultants of Lynchburg Inc CurrentSince Jun 1, 2019 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Radiology Associates of Roanoke P C Diagnostic Radiology PastSince Oct 24, 2021 Accepting new patients

Locations (25 of 26)

1839 N Government Way
Ste B
Coeur D Alene, ID 83814
Phone (855) 687-7273

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

14 Maple St
Ste 100
Gilford, NH 03249
Phone (603) 524-4220

14 Maple St
Ste 200
Gilford, NH 03249
Phone (603) 524-7514

724 N Main St
Laconia, NH 03246
Phone (603) 524-5151

734 N Main St
Laconia, NH 03246
Phone (603) 527-1855

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7433

1340 Washington St
Watertown, NY 13601
Phone (315) 755-6099

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

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

113 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 237-4004

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

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

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

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

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

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

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

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

160 Exeter Dr
Ste 103
Winchester, VA 22603
Phone (541) 686-1600

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Interoperability endpoints

  • Direct secure messaging: rogerw@ncn.medentdirect.com

Organizations & group practices 23

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.

View all 23

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1710907662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218431",
            "telephone_number": "208-416-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 WHITING LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564451",
            "telephone_number": "208-416-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "ROGER",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101035462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123539000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710907662",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007244037",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.