Individual provider Active NPI

Mariana A Phillips, M.D.

  • Dermatology Physician
  • Roanoke, VA
National Provider Identifier
1851322895
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101235823 Issued in VA
Practice address
1 Riverside Cir
Suite 300
Roanoke, VA 24016-4962
Phone
(540) 581-0160
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101235823 VA Primary

Addresses

Primary practice location

1 Riverside Cir
Suite 300
Roanoke, VA 24016-4962

Mailing address

1 Riverside Cir
Suite 300
Roanoke, VA 24016-4962

Other identifiers 2

IdentifierTypeStateIssuer
010187306MedicaidVA
P00459778OtherVAMEDICARE RAILROAD

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
I20051012000752 VA Practitioner - Dermatology 9931124591 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia 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
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

1 Riverside Cir
Roanoke, VA 24016-4962
Phone (540) 224-5170

1204 Franklin Rd SW
Roanoke, VA 24016-4606
Phone (540) 981-1439

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

2900 Lamb
700A
Christiansburg, VA 24073-6344
Phone (540) 731-7460

2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2992

Hospital & facility affiliations

  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision117
Removal of skin lesions48
Removal of skin cancer658
Removal or shaving of skin growth1-10
Skin biopsy101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101235823VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Franklin Memorial Hospital CurrentSince Jul 17, 2023 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jul 17, 2023 Accepting new patients
Carilion Medical Center CurrentSince Jul 1, 2008 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Jul 17, 2023 Accepting new patients
Carilion Franklin Memorial Hospital CurrentSince Jul 17, 2023 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jul 17, 2023 Accepting new patients
Carilion Medical Center CurrentSince Jul 1, 2008 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 17, 2023 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jul 17, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 17, 2023 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

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

2001 Crystal Spring Ave SW
Ste 201
Roanoke, VA 24014
Phone (540) 853-0100

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

1204 Franklin Rd SW
Roanoke, VA 24016
Phone (540) 345-6010

1 Riverside Cir
Ste 300
Roanoke, VA 24016
Phone (540) 581-0180

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506

Interoperability endpoints

  • Direct secure messaging: mphillips15802@direct.carilionclinic.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1851322895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVERSIDE CIR",
            "address_2": "SUITE 300",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERSIDE CIR",
            "address_2": "SUITE 300",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164962",
            "telephone_number": "540-581-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARIANA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101235823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010187306",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00459778",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.