Active NPI
Robert D Moylan, MD
- Gastroenterology Physician
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101043742
- Practice address
- 1906 Braeburn Dr
Valley Gastroenterology of SW VA
Salem, VA 24153 - Phone
- (540) 776-6300
- Fax
- (540) 776-1103
- NPI assigned
- Jan 6, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101043742 | VA | Primary |
Addresses
Primary practice location
1906 Braeburn Dr
Valley Gastroenterology of SW VA
Salem, VA 24153
Mailing address
1906 Braeburn Dr.
Valley Gastroenterology of Southwest VA PC
Salem, VA 24153
Phone (540) 776-6300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006098088 | Medicaid | VI | |
| 100009138 | Other | MEDICARE RAILROAD | |
| 260809 | Other | ANTHEM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Virginia School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925
2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128
3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170
Hospital & facility affiliations
- Carilion Medical Center
- Carilion New River Valley Medical Center
- Camc Greenbrier Valley Medical Center, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 28 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101043742 | VA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Franklin Memorial Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Franklin Memorial Hospital | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Past | Accepting new patients |
Locations
2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277
Interoperability endpoints
- rmoylan52043@direct.carilionclinic.org
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- General Acute Care Hospital
- Rocky Mount, VA
- NPI 1710970918
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
dba Bridgewater College Student Health Center
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
dba Carilion Clinic Home Care
- Home Health Agency
- Rocky Mount, VA
- NPI 1336132364
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
dba Carilion Clinic - DME - Westlake
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
dba Carilion Roanoke Memorial Hospital
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
Hospital & facility affiliations 3
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
-
- General Acute Care Hospital
- Christiansburg, VA
- NPI 1376536573
-
- General Acute Care Hospital
- Ronceverte, WV
- NPI 1679299408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1760460943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 BRAEBURN DR.",
"address_2": "VALLEY GASTROENTEROLOGY OF SOUTHWEST VA PC",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-776-6300",
"fax_number": "540-776-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 BRAEBURN DR",
"address_2": "VALLEY GASTROENTEROLOGY OF SW VA",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-776-6300",
"fax_number": "540-776-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYLAN",
"first_name": "ROBERT",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101043742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006098088",
"state": "VI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "100009138",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "260809",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.