ROANOKE FAMILY MEDICINE INC
NPI 1508963794
Family Medicine in Roanoke, VA
About Roanoke Family Medicine Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROANOKE FAMILY MEDICINE INC (NPI 1508963794) is a healthcare organization registered as a family medicine in Roanoke, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Edward L Wilkes, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 Family Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Roanoke Family Medicine Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 49D2090447
Roanoke Family Medicine, Inc · Roanoke, VAFrequently 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 Family Medicine Inc's NPI number?
The NPI number for Roanoke Family Medicine Inc is 1508963794. It was assigned to this organization in the NPPES registry on September 20, 2006.
Where is Roanoke Family Medicine Inc located?
Roanoke Family Medicine Inc is located at 3990 Colonial Ave, Roanoke, VA 24018. The listed phone number is (540) 772-1006.
What is Roanoke Family Medicine Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Roanoke Family Medicine Inc enrolled in Medicare?
Yes. Roanoke Family Medicine Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roanoke Family Medicine Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Roanoke Family Medicine Inc, in Family Practice and Nurse Practitioner. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Roanoke Family Medicine Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2090447) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Roanoke Family Medicine Inc was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Roanoke Family Medicine Inc · NPI 1508963794
Family Medicine organization in Roanoke, Virginia. Organization record, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1508963794 (Entity type: Organization)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Edward Wilkes, PRESIDENT
## Practice location
- **Address:** 3990 COLONIAL AVE, Roanoke, VA 24018-3740
- **Phone:** (540) 772-1006 · **Fax:** (540) 772-1086
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2014
- **Other identifiers:** Medicare PIN C02177
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508963794) · Data from the CMS NPPES public registry.