MR. NICHOLAS RIDER D.O.
NPI 1295952588
Allergy & Immunology in Roanoke, VA

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
4348 ELECTRIC RD, ROANOKE, VA 24018(540) 769-0950 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Nicholas Rider D.o. NPPES

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

MR. NICHOLAS RIDER D.O. (NPI 1295952588) is an individual allergy & immunology provider in Roanoke, Virginia, licensed in Virginia (0102207181) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Carlisle.

NPPES Registry Identity

NPI1295952588
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameMR. NICHOLAS RIDERCredential: D.O.
Location Address4348 ELECTRIC RDRoanoke, VA 24018-0720
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 19, 2007
Last NPPES UpdateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
NPI 1295952588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Licenses Licensed in VA · 0102207181 Licensed in PA · OS014332
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0102207181 (VA)
Also ListedPediatricsTaxonomy 208000000X · License 0102207181 (VA)
4348 ELECTRIC RD, Roanoke, VA 24018

Secondary Practice Location 1

Location 1220 Wilson Street, Suite 200Carlisle, PA 17013-3697 · Phone (717) 243-7540 · Fax (717) 243-9968

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. Nicholas Rider D.o. 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 ID143499962
PECOS Enrollment IDI20221214003221
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.

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Pediatrics (Pediatric Pulmonology)
4348 ELECTRIC RD
ROANOKE, VA 24018
Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Dietitian, Registered
4348 ELECTRIC RD
ROANOKE, VA 24018
Student in an Organized Health Care Education/Training Program
4348 ELECTRIC RD
ROANOKE, VA 24018
Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Dentist (Pediatric Dentistry)
4348 ELECTRIC RD
ROANOKE, VA 24018

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 Nicholas Rider's NPI number?

The NPI number for Nicholas Rider is 1295952588. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Nicholas Rider located?

Nicholas Rider practices at 4348 Electric Rd, Roanoke, VA 24018. The listed phone number is (540) 769-0950.

What is Nicholas Rider's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Nicholas Rider enrolled in Medicare?

Yes. Nicholas Rider 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.

Is Nicholas Rider affiliated with any hospitals?

According to CMS data, Nicholas Rider is affiliated with Carilion Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Rider was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.