Individual provider Active NPI

Malak Waheb Yossef Iskandar, D.O.

  • Psychiatry Physician
  • Roanoke, VA
National Provider Identifier
1841581295
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0102203991 Issued in VA
Practice address
3959 Electric Rd Ste 280
Roanoke, VA 24018-4572
Phone
(540) 427-7944
Fax
(540) 427-7945
NPI assigned
Apr 20, 2011
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0102203991 VA Primary

Addresses

Primary practice location

3959 Electric Rd Ste 280
Roanoke, VA 24018-4572

Mailing address

PO Box 20867
Roanoke, VA 24018-0526
Phone (540) 427-7944

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
I20150905000015 VA Practitioner - Psychiatry 9436465473 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alleghany Highlands Community ServicesGroup PAC ID 0840392544, 8 clinicians
Mental Wellness Group PLLCGroup PAC ID 8729394762, 2 clinicians
Blue Ridge Behavioral HealthcareGroup PAC ID 6709831522, 26 clinicians

Practice addresses (Care Compare)

311 S Monroe Ave
Covington, VA 24426-1635
Phone (540) 965-2100

3959 Electric Rd
Suite 280
Roanoke, VA 24018-4572
Phone (540) 427-7944

611 McDowell Ave NW
Roanoke, VA 24016-1225
Phone (540) 266-9200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102203991VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kuumba Community Health & Wellness Center, Inc. CurrentSince Jul 20, 2020 Accepting new patients
Blue Ridge Behavioral Healthcare CurrentSince Dec 5, 2016 Accepting new patients
Alleghany Highlands Community Services CurrentSince Nov 1, 2017 Accepting new patients
Mental Wellness Group PLLC Psychiatry CurrentSince Jul 1, 2015 Accepting new patients
Kuumba Community Health & Wellness Center, Inc. CurrentSince Jul 20, 2020 Accepting new patients
Alleghany Highlands Community Services PastSince Nov 1, 2017 Accepting new patients

Locations

205 E Hawthorne St
Covington, VA 24426
Phone (540) 965-2135

311 S Monroe Ave
Covington, VA 24426
Phone (540) 863-1620

301 Elm Ave SW
Roanoke, VA 24016
Phone (540) 266-9200

3716 Melrose Ave NW
Roanoke, VA 24017
Phone (540) 362-0360

3959 Electric Rd
Ste 280
Roanoke, VA 24018
Phone (540) 427-7944

611 McDowell Ave NW
Roanoke, VA 24016
Phone (540) 266-9200

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1841581295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20867",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180526",
            "telephone_number": "540-427-7944",
            "fax_number": "540-427-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD STE 280",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184572",
            "telephone_number": "540-427-7944",
            "fax_number": "540-427-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDAR",
        "first_name": "MALAK",
        "middle_name": "WAHEB YOSSEF",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102203991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.