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ROANOKE VALLEY ENT & ALLERGY PC
NPI 1174005417
Otolaryngology in Roanoke, VA

Active since September 04, 2018
4633 BRAMBLETON AVE STE 100, ROANOKE, VA 24018(540) 968-7368(844) 212-0402 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roanoke Valley Ent & Allergy Pc NPPES

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

ROANOKE VALLEY ENT & ALLERGY PC (NPI 1174005417) is a healthcare organization registered as an otolaryngology in Roanoke, Virginia and active in the NPI registry since September 2018. The organization maintains a secondary practice location in Roanoke and lists Paul Lenkowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1174005417
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameROANOKE VALLEY ENT & ALLERGY PC
Location Address4633 BRAMBLETON AVE STE 100Roanoke, VA 24018-3410
Mailing AddressPo Box 8310Roanoke, VA 24014-0310 · (540) 345-3556
Phone(540) 968-7368
Fax(844) 212-0402
Organization SubpartNo
Authorized OfficialPaul LenkowskiOwner · (540) 968-7368
Enumeration DateSeptember 4, 2018
Last NPPES UpdateApril 27, 2023
NPPES CertifiedDecember 1, 2022
✔ NPI 1174005417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4633 BRAMBLETON AVE STE 100, Roanoke, VA 24018
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Secondary Practice Location 1

Location 12154 McVitty Rd, Second FloorRoanoke, VA 24018 · Phone (540) 968-7368

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roanoke Valley Ent & Allergy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Roanoke Valley Ent & Allergy PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Paul Lenkowski, M.D.PH.D.
Otolaryngology
NPI 1497964886
4633 BRAMBLETON AVE STE 100
Roanoke, VA 24018
(540) 968-7368
✔ PECOSSame address
Zachariah Kachemov, NP
Nurse Practitioner
NPI 1306765862
4633 BRAMBLETON AVE STE 100
Roanoke, VA 24018
(540) 655-1888
✔ PECOSSame address
Carrie Miller, M.S.,CCC-A
Qualified Audiologist
NPI 1801972617
2030 COLONIAL AVE SW
Roanoke, VA 24015
(540) 343-0165
4.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2156331

Roanoke Valley Ent & Allergy, PC · Roanoke, VA
Expired · Oct 15, 2026
CLIA Number49D2156331
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorPaul W. Lenkowski
Laboratory Phone(540) 968-7368
Laboratory LocationRoanoke Valley Ent & Allergy, PC4633 Brambleton Avenue, Suite 100, Roanoke, VA 24018
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Roanoke Valley Ent & Allergy PC's NPI number?

The NPI number for Roanoke Valley Ent & Allergy PC is 1174005417. It was assigned to this organization in the NPPES registry on September 4, 2018.

Where is Roanoke Valley Ent & Allergy PC located?

Roanoke Valley Ent & Allergy PC is located at 4633 Brambleton Ave Ste 100, Roanoke, VA 24018. The listed phone number is (540) 968-7368.

What is Roanoke Valley Ent & Allergy PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Roanoke Valley Ent & Allergy PC enrolled in Medicare?

Yes. Roanoke Valley Ent & Allergy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roanoke Valley Ent & Allergy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Roanoke Valley Ent & Allergy PC, in Nurse Practitioner, Otolaryngology and Qualified Audiologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roanoke Valley Ent & Allergy PC was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.