Active NPI
Kyle D Aemisegger, M.D.
- Anesthesiology Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101277009
- Practice address
- 1906 Belleview Ave SE
Roanoke, VA 24014-1838 - Phone
- (540) 345-0289
- NPI assigned
- Jul 11, 2007
- Last updated
- Oct 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101277009 | VA | Primary |
Addresses
Primary practice location
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Mailing address
PO Box 13306
Roanoke, VA 24032-3306
Phone (540) 345-0289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, VA
- 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
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5115 Bernard Dr
Suite 201
Roanoke, VA 24018-4367
Phone (540) 345-0289
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101277009 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanana Valley Clinic LLC | Current | Accepting new patients | |
| Acv Inc | Anesthesiology | Current | Accepting new patients |
| Tanana Valley Clinic LLC | Current | Accepting new patients | |
| Anesthesiology Consultants of Virginia, Inc | Anesthesiology | Past | Accepting new patients |
Locations
1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181
1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806
5115 Bernard Dr
Ste 201
Roanoke, VA 24018
Phone (540) 345-0289
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1881927259
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1922559558
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1073081485
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1225016603
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carilion Roanoke Memorial Hospital
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696636800000",
"number": "1740488741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13306",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240323306",
"telephone_number": "540-345-0289"
},
{
"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": "540-345-0289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AEMISEGGER",
"first_name": "KYLE",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2023-10-07",
"certification_date": "2023-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101277009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
- Matthew Harrison Adsit, MD
- Advanced Foot and Ankle Center, PLLC
- Advanced Telepsychiatry, Inc.
- Adventa Hospice, LLC (Amedisys Hospice Care)
- Brandi K. Aemisegger, NP
- Affiliated Rehab, P.C.
- Affordable Dentures & Implants - Virginia IV, PLLC (Affordable Dentures & Implants - Roanoke)
- Against All Odds Therapy LLC
- Agape Home Healthcare LLC
- Bailey Scott Agee, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; 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.