Individual provider Active NPI

Craig James Garofola, D.O.

  • Dermatology Physician
  • Blacksburg, VA
National Provider Identifier
1861856056
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
102205395 Issued in VA
Practice address
3700 S Main St
Blacksburg, VA 24060-7017
Phone
(540) 951-1111
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X VA
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 102205395 VA Primary

Addresses

Primary practice location

3700 S Main St
Blacksburg, VA 24060-7017

Mailing address

3706 S Main St
Blacksburg, VA 24060-7006
Phone (540) 951-3376

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
I20200618001224 VA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9537455993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Skin SpecialistsGroup PAC ID 0143494203, 17 clinicians

Practice addresses (Care Compare)

3706 S Main St
Suite B
Blacksburg, VA 24060-7006
Phone (540) 951-3376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision425
Removal of tissue18
Removal of skin lesions480
Removal of skin cancer1811
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102205395VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Skin Specialists Single Specialty CurrentSince Jul 1, 2020 Accepting new patients

Locations

3706 S Main St
Ste B
Blacksburg, VA 24060
Phone (540) 951-3376

3706 S Main St
Blacksburg, VA 24060
Phone (276) 322-1800

3215 Brandon Ave SW
Roanoke, VA 24018

Organizations & group practices 1

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1861856056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607006",
            "telephone_number": "540-951-3376",
            "fax_number": "540-951-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-951-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROFOLA",
        "first_name": "CRAIG",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "102205395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.