Individual provider Active NPI

Marcus L Speaker, MD

  • Family Medicine Physician
  • Roanoke, VA
National Provider Identifier
1770574030
Registry record updated Nov 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101235269 Issued in VA
Practice address
2145 Mount Pleasant Blvd SE
Roanoke, VA 24014-3632
Phone
(540) 427-9200
Fax
(540) 427-3237
NPI assigned
Nov 4, 2005
Last updated
Nov 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2008

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 0101235269 VA Primary

Addresses

Primary practice location

2145 Mount Pleasant Blvd SE
Roanoke, VA 24014-3632

Mailing address

2145 Mount Pleasant Blvd SE
Roanoke, VA 24014-3632
Phone (540) 427-9200

Other identifiers 2

IdentifierTypeStateIssuer
010073006MedicaidVA
010073031MedicaidVA

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714001384 VA Practitioner - Family Practice 4385623347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

1314 Peters Creek Rd
Roanoke, VA 24017-2500
Phone (540) 562-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101235269VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jul 1, 2004 Accepting new patients
Carilion Medical Center CurrentSince Jul 1, 2004 Accepting new patients

Locations

1314 Peters Creek Rd NW
Roanoke, VA 24017
Phone (540) 427-9200

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

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

2145 Mount Pleasant Blvd SE
Roanoke, VA 24014
Phone (540) 427-3020

Interoperability endpoints

  • Direct secure messaging: mspeaker707@direct.carilionclinic.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225497600000",
    "number": "1770574030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 MOUNT PLEASANT BLVD SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240143632",
            "telephone_number": "540-427-9200",
            "fax_number": "540-427-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 MOUNT PLEASANT BLVD SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240143632",
            "telephone_number": "540-427-9200",
            "fax_number": "540-427-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKER",
        "first_name": "MARCUS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101235269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010073006",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010073031",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.