Individual provider Active NPI

Paul Yeaton, M.D.

  • Gastroenterology Physician
  • Roanoke, VA
National Provider Identifier
1891838249
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101048319 Issued in VA
Practice address
3 Riverside Circle
Lee Street, 1St Floor
Roanoke, VA 24016
Phone
(540) 224-5170
Fax
(540) 983-8229
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101048319 VA Primary

Addresses

Primary practice location

3 Riverside Circle
Lee Street, 1St Floor
Roanoke, VA 24016

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715

Other identifiers 1

IdentifierTypeStateIssuer
006022537MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pyeaton18504@direct.carilionclinic.org Direct

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
I20041123000126 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 5890750459 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170

Hospital & facility affiliations

  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux154

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Sep 1, 2010 Accepting new patients
Carilion Franklin Memorial Hospital CurrentSince Jan 15, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jun 4, 2018 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 15, 2023 Accepting new patients
Carilion Medical Center CurrentSince Sep 1, 2010 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jun 4, 2018 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 15, 2023 Accepting new patients
Carilion Franklin Memorial Hospital CurrentSince Jan 15, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114

110 Akers Farm Rd
Christiansburg, VA 24073
Phone (540) 382-9405

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

3 Riverside Cir
Fl 1
Roanoke, VA 24016

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

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

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

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

3 Riverside Cir
Roanoke, VA 24016

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

Interoperability endpoints

  • Direct secure messaging: pyeaton18504@direct.carilionclinic.org

Organizations & group practices 10

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 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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1891838249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RIVERSIDE CIRCLE",
            "address_2": "LEE STREET, 1ST FLOOR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24016",
            "telephone_number": "540-224-5170",
            "fax_number": "540-983-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATON",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101048319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006022537",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pyeaton18504@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "pyeaton18504@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 Riverside Circle",
            "address_2": "Lee Street, 1st Floor",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.