DR. DIANA L DOUGHERTY M.D.
NPI 1417396664
Internal Medicine - Gastroenterology in Roanoke, VA

Q: What is Diana Dougherty's NPI number?

The NPI number for Diana Dougherty is 1417396664. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Q: What is Diana Dougherty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Diana Dougherty was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since June 20, 2013PECOS EnrolledAccepts Medicare Assignment

3 RIVERSIDE CIR, ROANOKE, VA 24016(540) 224-5170 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2025, Jul 23, 2024, Jul 11, 2024 and 1 more (4 updates tracked since 2019).

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About Dr. Diana L Dougherty M.d. NPPES

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

DR. DIANA L DOUGHERTY M.D. (NPI 1417396664) is an individual gastroenterology provider in Roanoke, Virginia, licensed in Virginia (0101257954) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Drexel University College Of Medicine (2013).

NPPES Registry Identity

NPI1417396664

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameDR. DIANA L DOUGHERTYCredential: M.D.

Location Address3 RIVERSIDE CIRRoanoke, VA 24016-4955

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713

Phone(540) 224-5170

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 2013

Enumeration DateJune 20, 2013

Last NPPES UpdateSeptember 5, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1417396664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in VA · 0101257954

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3 RIVERSIDE CIR, Roanoke, VA 24016

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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

Dr. Diana L Dougherty M.d. 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 ID2769603703

PECOS Enrollment IDI20240821003718

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

15 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Carilion New River Valley Medical Center

Acute Care Hospitals · Christiansburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490042

Location2900 Lamb CircleChristiansburg, VA 24073 · Montgomery County

Emergency services Birthing friendly

Carilion Franklin Memorial Hospital

Acute Care Hospitals · Rocky Mount, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490089

Location180 Floyd AvenueRocky Mount, VA 24151 · Franklin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JED DAVID GONZALO M.D.

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