Active NPI
Corey Michael Fidler, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103301175
- Practice address
- 3 Riverside Cir
Roanoke, VA 24016-4955 - Phone
- (540) 510-6200
- Fax
- (540) 857-5306
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103301175 | VA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301175 | VA | Primary |
Addresses
Primary practice location
3 Riverside Cir
Roanoke, VA 24016-4955
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942566252 | Other | VA | OPTIMA HEALTH PLAN |
| 1942566252 | Other | VA | HUMANA MEDICARE |
| 540506332108 | Other | VA | TRICARE |
| 1942566252 | Other | VA | VA PREMIER |
| 1942566252 | Other | VA | HEALTHKEEPERS |
| 1942566252 | Other | VA | CIGNA |
| 1942566252 | Other | VA | ANTHEM |
| 1942566252 | Other | VA | UNITED HEALTHCARE |
| 1942566252 | Other | VA | GATEWAY |
| 1942566252 | Other | VA | HEALTHKEEPERS PLUS |
| 1942566252 | Other | VA | AETNA |
| 1942566252 | Other | VA | UMWA |
| 1942566252 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cfidler81425@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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Elm Ave
Roanoke, VA 24013-2222
Phone (540) 224-4380
101 Elm Ave SE
FL 3
Roanoke, VA 24013-2222
Phone (540) 224-6780
1107 A Brookdale St
Martinsville, VA 24112-4501
Phone (276) 670-3300
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
2331 Franklin Rd SW
Roanoke, VA 24014-1111
Phone (540) 224-5170
25 Crossing LN
Lexington, VA 24450-3778
3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170
6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110
935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268
Hospital & facility affiliations
- Carilion Home Care Services - Roanoke
- Enhabit Home Health (Roanoke)
- Carilion Home Care Franklin
- Carilion Medical Center
- Carilion Franklin Memorial Hospital
- Sovah Health Danville
- Carilion New River Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 229 |
| Removal of nail tissue | 231 |
| Removal or shaving of skin growth | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Past | Accepting new patients |
Locations
1107A Brookdale St
Martinsville, VA 24112
Phone (276) 634-0379
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
3 Riverside Cir
Roanoke, VA 24016
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
Interoperability endpoints
- cfidler81425@direct.carilionclinic.org
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Physical Therapist
- Stanleytown, VA
- NPI 1487895348
-
- Multi-Specialty Clinic/Center
- Pearisburg, VA
- NPI 1346894813
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rocky Mount, VA
- NPI 1336132364
-
- General Acute Care Hospital
- Rocky Mount, VA
- NPI 1710970918
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Home Health Agency
- Roanoke, VA
- NPI 1073506002
-
- General Acute Care Hospital
- Christiansburg, VA
- NPI 1376536573
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
-
- Home Health Agency
- Roanoke, VA
- NPI 1083158950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1942566252",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RIVERSIDE CIR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164955",
"telephone_number": "540-510-6200",
"fax_number": "540-857-5306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIDLER",
"first_name": "COREY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103301175",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH PLAN",
"identifier": "1942566252",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA MEDICARE",
"identifier": "1942566252",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "540506332108",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "1942566252",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHKEEPERS",
"identifier": "1942566252",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1942566252",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1942566252",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1942566252",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1942566252",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHKEEPERS PLUS",
"identifier": "1942566252",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1942566252",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1942566252",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942566252",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cfidler81425@direct.carilionclinic.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "cfidler81425@direct.carilionclinic.org",
"address_1": "3 Riverside Cir",
"city": "Roanoke",
"state": "VA",
"country_code": "US",
"postal_code": "240164955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.