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MR. DAVID LAMONT NIELSON DPM
NPI 1053503961
Podiatrist - Foot & Ankle Surgery in Roanoke, VA

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment
222 WALNUT AVE SW, ROANOKE, VA 24016(540) 344-3668(540) 769-6381 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Lamont Nielson Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID LAMONT NIELSON DPM (NPI 1053503961) is an individual foot & ankle surgery provider in Roanoke, Virginia, licensed in Virginia (0103300976) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Tug Valley Arh Regional Medical Center, and is a graduate of California School Of Podiatric Medicine (2004).

NPPES Registry Identity

NPI1053503961
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMR. DAVID LAMONT NIELSONCredential: DPM
Location Address222 WALNUT AVE SWRoanoke, VA 24016-4723
Mailing Address222 Walnut Ave SwRoanoke, VA 24016-4723 · (540) 344-3668 · Fax (540) 769-6381
Phone(540) 344-3668
Fax(540) 769-6381
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2004
Enumeration DateAugust 14, 2007
Last NPPES UpdateNovember 17, 2008
✔ NPI 1053503961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in VA · 0103300976
222 WALNUT AVE SW, Roanoke, VA 24016
Open in Google Maps ↗

Other Identifiers 4

Medicare PINP00632266VA
Medicaid1053503961VA
Medicare NSC5715980001VA
Medicare PIN017444F35VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. David Lamont Nielson Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032280664
PECOS Enrollment IDI20170828001024, I20220801000896
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANNY BASEL GHANNOUM DPM
Podiatrist
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
CHEYENNE MANAFI
Podiatrist
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
DR. CHARLES M ZELEN DPM
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
DR. IVAN RUBIANO DPM
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
DR. ROBERT MARK BOGUSKI DPM
Podiatrist
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (947) 521-1320
DR. BOYD JENSEN III D.P.M.
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Podiatrist
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
NATHAN JOHN YOUNG DPM
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Nielson's NPI number?

The NPI number for David Nielson is 1053503961. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is David Nielson located?

David Nielson practices at 222 Walnut Ave SW, Roanoke, VA 24016. The listed phone number is (540) 344-3668.

What is David Nielson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is David Nielson enrolled in Medicare?

Yes. David Nielson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Nielson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list David Nielson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Nielson affiliated with any hospitals?

According to CMS data, David Nielson is affiliated with Tug Valley Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for David Nielson was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.