FOUNTAIN SQUARE INTERNAL MEDICINE
NPI 1215090683
Internal Medicine in Roanoke, VA

Active since December 18, 2006
1315 2ND ST SW, STE 101, ROANOKE, VA 24016(540) 344-5550(540) 344-5205 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fountain Square Internal Medicine NPPES

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

FOUNTAIN SQUARE INTERNAL MEDICINE (NPI 1215090683) is a healthcare organization registered as an internal medicine in Roanoke, Virginia and active in the NPI registry since December 2006. The organization lists Michael Alan Malpass, President, as its authorized official.

NPPES Registry Identity

NPI1215090683
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFOUNTAIN SQUARE INTERNAL MEDICINE
Location Address1315 2ND ST SW, STE 101Roanoke, VA 24016-4935
Mailing Address1315 2nd St Sw, Ste 101Roanoke, VA 24016-4935 · (540) 344-5550 · Fax (540) 344-5205
Fax(540) 344-5205
Organization SubpartNo
Authorized OfficialMichael Alan MalpassPresident · (540) 344-5550
Enumeration DateDecember 18, 2006
Last NPPES UpdateJanuary 28, 2010
NPI 1215090683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1315 2ND ST SW, Roanoke, VA 24016

Other Identifiers 1

Medicare ID-Type UnspecifiedC09792VA

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

Other Providers at the Same Location NPPES 14

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

Speech-Language Pathologist
1315 2ND ST SW
ROANOKE, VA 24016
Dentist (General Practice)
1315 2ND ST SW, SUITE 100
ROANOKE, VA 24016
Community/Behavioral Health
1315 2ND ST SW, SUITE 102
ROANOKE, VA 24016
Internal Medicine
1315 2ND ST SW, SUITE 101
ROANOKE, VA 24016
Internal Medicine
1315 2ND ST SW, SUITE 202
ROANOKE, VA 24016
Dentist (General Practice)
1315 2ND ST SW, SUITE 100
ROANOKE, VA 24016
Dentist (General Practice)
1315 2ND ST SW, SUITE 100
ROANOKE, VA 24016
Internal Medicine (Pulmonary Disease)
1315 2ND ST SW, STE 101
ROANOKE, VA 24016

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 Fountain Square Internal Medicine's NPI number?

The NPI number for Fountain Square Internal Medicine is 1215090683. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Fountain Square Internal Medicine located?

Fountain Square Internal Medicine is located at 1315 2nd St SW Ste 101, Roanoke, VA 24016. The listed phone number is (540) 344-5550.

What is Fountain Square Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Fountain Square Internal Medicine was last updated on January 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.