Active NPI
Emily Mardakis, CRNA
- Certified Registered Nurse Anesthetist
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024169973
- Practice address
- 1906 Belleview Ave SE
Roanoke, VA 24014 - Phone
- (540) 853-0222
- Fax
- (540) 981-7855
- NPI assigned
- Mar 21, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024169973 | VA | Primary |
Addresses
Primary practice location
1906 Belleview Ave SE
Roanoke, VA 24014
Mailing address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 853-0222
Other practice location 1
500 Medical Center Blvd
Webster, TX 77598-4220
Phone (281) 332-2511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- 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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024169973 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Associates of Radford Inc | Current | Accepting new patients | |
| Acv Inc | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Valley Anesthesia PC | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Inova Cares - Community | Current | Accepting new patients | |
| Anesthesiology Consultants of Virginia, Inc | Past | Accepting new patients | |
| Carilion Medical Center | Past | Accepting new patients |
Locations
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111
2900 Tyler Rd
Christiansburg, VA 24073
Phone (540) 731-7311
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
5115 Bernard Dr
Ste 201
Roanoke, VA 24018
Phone (540) 345-0289
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
Organizations & group practices 8
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
-
- Anesthesiology Physician
- Christiansburg, VA
- NPI 1407878465
-
- Anesthesiology Physician
- Salem, VA
- NPI 1275587115
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1225016603
-
dba Carilion Roanoke Memorial Hospital
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
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": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1790050839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 BELLEVIEW AVE SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141838",
"telephone_number": "540-853-0222",
"fax_number": "540-981-7855"
},
{
"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": "24014",
"telephone_number": "540-853-0222",
"fax_number": "540-981-7855"
}
],
"practiceLocations": [
{
"address_1": "500 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "TX",
"postal_code": "775984220",
"country_code": "US",
"telephone_number": "281-332-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARDAKIS",
"first_name": "EMILY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-21",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024169973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.