Individual provider Active NPI

Thomas M Kerkering, MD

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1992797401
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101026440 Issued in VA
Practice address
2001 Crystal Spring Ave SW
Suite 301
Roanoke, VA 24014-2462
Phone
(540) 981-7715
Fax
(540) 981-7965
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0101-026440 VA
Infectious Disease Physician 207RI0200X 200201348 NC
Internal Medicine Physician 207R00000X 0101026440 VA Primary

Addresses

Primary practice location

2001 Crystal Spring Ave SW
Suite 301
Roanoke, VA 24014-2462

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5705

Other identifiers 3

IdentifierTypeStateIssuer
13231OtherNCBCBS NC
440003962OtherNCRAILROAD MEDICARE
8913231MedicaidNC

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
I20080618000517 VA Practitioner - Internal MedicinePractitioner - Infectious Disease 4789755745 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Virginia Commonwealth University, School of Medicine, 1974
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)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101026440VAMDInternal Medicine Physician
200201348NCMDInfectious Disease Physician
0101-026440VAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jul 1, 2008 Accepting new patients
Carilion Franklin Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Carilion Franklin Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Aug 1, 2024 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Aug 1, 2024 Accepting new patients
Carilion Medical Center CurrentSince Jul 1, 2008 Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 1, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 1, 2024 Accepting new patients
Bradley Free Clinic of Roanoke Valley 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

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

2001 Crystal Spring Ave SW
Ste 301
Roanoke, VA 24014
Phone (540) 981-7165

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: thomas.kerkering.1@18289.direct.athenahealth.com
  • Direct secure messaging: tkerkering22240@direct.carilionclinic.org
  • FHIR API: https://api.platform.athenahealth.com/18289/brand/1/csg/1/fhir/r4

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.

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1992797401",
    "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": "540-224-5705",
            "fax_number": "540-981-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CRYSTAL SPRING AVE SW",
            "address_2": "SUITE 301",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142462",
            "telephone_number": "540-981-7715",
            "fax_number": "540-981-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERKERING",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101-026440",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "200201348",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101026440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "13231",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "440003962",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913231",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.