NPIMap

Individual provider Active NPI

Ezekiel N Jones II, D.O.

  • Family Medicine Physician
  • Roanoke, VA
National Provider Identifier
1730129206
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102201480 Issued in VA
Practice address
1421 3Rd St SW
Roanoke, VA 24016-5204
Phone
(540) 345-4946
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102201480 VA Primary

Addresses

Primary practice location

1421 3Rd St SW
Roanoke, VA 24016-5204

Mailing address

4461 Starkey Road
Suite 201
Roanoke, VA 24018
Phone (540) 345-4946

Other practice location 1

4461 Starkey Road
Suite 201
Roanoke, VA 24018
Phone (540) 345-4946

Other identifiers 6

IdentifierTypeStateIssuer
1730129206MedicaidVA
313126OtherVASOUTHERN HEALTH
P00187257OtherVARAILROAD MEDICARE
173460OtherVAANTHEM
7066157OtherVAAETNA
6817408OtherVACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000480 VA Practitioner - Family Practice 0840186706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Associates of Virginia PCGroup PAC ID 3870578214, 7 clinicians

Practice addresses (Care Compare)

1421 3Rd St SW
Roanoke, VA 24016-5204
Phone (540) 345-4946

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Associates of Virginia PC Family Medicine CurrentSince Aug 1, 2006 Accepting new patients
Blacksburg Neurology PC PastSince Nov 1, 2025 Accepting new patients
Davis and McDaniel Veterans Care Center PastSince Jan 20, 2026 Accepting new patients

Locations

4461 Starkey Rd
Ste 201
Roanoke, VA 24018
Phone (540) 345-4946

1421 3rd St SW
Roanoke, VA 24016
Phone (540) 345-4946

391 Hershberger Rd
Roanoke, VA 24012
Phone (540) 265-2087

4550 Shenandoah Ave NW
Roanoke, VA 24017
Phone (540) 982-2860

431 Apperson Dr
Salem, VA 24153
Phone (540) 375-3790

Interoperability endpoints

  • Direct secure messaging: ejones@pav.ssdirect.aprima.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Davis & McDaniel Veterans Care CenterRoanoke, VA, CCN 495274 Skilled nursing facility Adp of the SNF Jan 20, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 9

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1730129206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 STARKEY ROAD",
            "address_2": "SUITE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-345-4946",
            "fax_number": "540-982-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165204",
            "telephone_number": "540-345-4946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4461 Starkey Road",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "24018",
            "country_code": "US",
            "telephone_number": "540-345-4946",
            "fax_number": "540-982-7164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "EZEKIEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730129206",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "313126",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00187257",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "173460",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7066157",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6817408",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.