Active NPI
Marcus L Speaker, MD
- Family Medicine Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101235269
- 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, 2008
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010073006 | Medicaid | VA | |
| 010073031 | Medicaid | VA |
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
- Family Practice
- Education
- West Virginia University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101235269 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
dba Carilion Clinic - DME - Westlake
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
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": "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
- Sarah Jessica Spano-List, RBT
- Matthew Joseph Spano, DO
- Shauna Spanos, MD
- Haywood Merritt Sparger Jr., D.D.S.
- Nicholas Jay Sparler, M.D.
- Specialized Radiology Services Inc (Pediatric Radiology of America)
- Specialty RX of VA LLC (Specialty Rx Virginia)
- Speech by Kelly
- Lee Ann Speed, CRNA
- Aderonke Speliotis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; 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.