Individual provider Active NPI

Yukli Elliott, M.D.

  • Anesthesiology Physician
  • Roanoke, VA
National Provider Identifier
1801180534
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101266020 Issued in VA
Practice address
5115 Bernard Dr Ste 201
Roanoke, VA 24018
Phone
(540) 345-0289
Fax
(540) 345-9569
NPI assigned
May 28, 2011
Last updated
Nov 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 108004 AK
Anesthesiology Physician 207L00000X P26489 MD
Anesthesiology Physician 207L00000X 84916 GA
Anesthesiology Physician 207L00000X 0101266020 VA Primary

Addresses

Primary practice location

5115 Bernard Dr Ste 201
Roanoke, VA 24018

Mailing address

5115 Bernard Dr Ste 201
Roanoke, VA 24018-4367
Phone (540) 345-0289

Other practice location 1

2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-9386

Other practice location 2

3300 Providence Drive
Suite 205
Anchorage, AK 99508-4619
Phone (907) 561-0005

Other practice location 3

3300 Providence Drive
Suite 205
Anchorage, AK 99508-4619
Phone (907) 561-0005

Other names 1

  • Yukli Cao Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191002003054 VA Practitioner - Anesthesiology 6002194321
I20210105001759 NC Practitioner - Anesthesiology 6002194321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Virginia Commonwealth University, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Anesthesia PLLCGroup PAC ID 5991184863, 112 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

117 E Kings Hwy
Eden, NC 27288-5201
Phone (336) 623-9711

68 Hospital Rd
Sylva, NC 28779-2722
Phone (828) 586-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108004AKMDAnesthesiology Physician
P26489MDMDAnesthesiology Physician
0101266020VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Dec 22, 2020 Accepting new patients
360 Anesthesia PLLC Anesthesiology CurrentSince Nov 12, 2025 Accepting new patients
Acv Inc Anesthesiology CurrentSince Sep 1, 2019 Accepting new patients
Anesthesiology Consultants of Virginia, Inc Anesthesiology PastSince Aug 11, 2019 Accepting new patients

Locations

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

5115 Bernard Dr
Ste 201
Roanoke, VA 24018
Phone (540) 345-0289

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.

Hospital & facility affiliations 2

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": "1306540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1801180534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184367",
            "telephone_number": "540-345-0289",
            "fax_number": "540-345-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-345-0289",
            "fax_number": "540-345-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W Belvedere Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155216",
            "country_code": "US",
            "telephone_number": "410-601-9386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Providence Drive",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084619",
            "country_code": "US",
            "telephone_number": "907-561-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Providence Drive",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084619",
            "country_code": "US",
            "telephone_number": "907-561-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "YUKLI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-28",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "108004",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "P26489",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "84916",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101266020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUKLI",
            "last_name": "CAO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.