Individual provider Active NPI

Mark Brandon Rogers, DO

  • Sports Medicine (Family Medicine) Physician
  • Blacksburg, VA
National Provider Identifier
1922127950
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
0102201857 Issued in VA
Practice address
3700 S Main St
Suite a
Blacksburg, VA 24060-7017
Phone
(540) 443-7180
Fax
(540) 443-7182
NPI assigned
Mar 29, 2007
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 0102201857 VA Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 116912 NC

Addresses

Primary practice location

3700 S Main St
Suite a
Blacksburg, VA 24060-7017

Mailing address

3700 S Main St
Suite a
Blacksburg, VA 24060-7017
Phone (540) 443-7180

Other identifiers 1

IdentifierTypeStateIssuer
309761OtherVAANTHEM

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
I20070924000695 VA Practitioner - Family PracticePractitioner - Sports Medicine 0244324002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Primary Care AssociatesGroup PAC ID 3678571866, 10 clinicians

Practice addresses (Care Compare)

1691 Innovation Dr
Suite 2100
Blacksburg, VA 24060-6618
Phone (540) 232-8405

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.67 of 100Reported as group
Quality
66.8
Promoting interoperability
100
Improvement activities
40
Cost
75.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116912NCMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Primary Care Associates CurrentSince Sep 1, 2007 Accepting new patients
Academic Primary Care Associates CurrentSince Sep 1, 2007 Accepting new patients

Locations

1691 Innovation Dr
Ste 2100
Blacksburg, VA 24060
Phone (540) 232-8405

3700 S Main St
Ste A
Blacksburg, VA 24060
Phone (540) 443-7180

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26460/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.rogers.1@26460.direct.athenahealth.com

Organizations & group practices 3

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 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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1922127950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "address_2": "SUITE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-443-7180",
            "fax_number": "540-443-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "address_2": "SUITE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-443-7180",
            "fax_number": "540-443-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARK",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "VA",
            "license": "0102201857",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "116912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "309761",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.