MEBRATU DABA
NPI 1629455936
Pediatrics in Roanoke, VA

Q: What is Mebratu Daba's NPI number?

The NPI number for Mebratu Daba is 1629455936. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Q: What is Mebratu Daba's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mebratu Daba was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 06, 2015PECOS Enrolled

4348 ELECTRIC RD, ROANOKE, VA 24018(540) 769-0976(540) 587-5392 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2021, Dec 10, 2020, Aug 29, 2018 (3 updates tracked since 2018).

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About Mebratu Daba NPPES

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

MEBRATU DABA (NPI 1629455936) is an individual pediatrics provider in Roanoke, Virginia, licensed in Virginia (0101264832) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629455936

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMEBRATU DABA

Location Address4348 ELECTRIC RDRoanoke, VA 24018-0720

Mailing Address102 Highland Ave Se Ste 104Roanoke, VA 24013-2255 · (540) 985-8147 · Fax (540) 985-8435

Phone(540) 769-0976

Fax(540) 587-5392

Sole ProprietorNo

Enumeration DateMay 6, 2015

Last NPPES UpdateNovember 5, 20213 updates tracked since enumeration

NPPES CertifiedNovember 5, 2021

✔ NPI 1629455936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0101264832

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4348 ELECTRIC RD, Roanoke, VA 24018

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mebratu Daba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mebratu Daba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carilion Medical Center

2.2 mi

Dental

2017 JEFFERSON ST SW
Roanoke, VA 24014

Reassigned Medicare billing, Virginia enrollment
1,207 clinicians in this Medicare group

NPI 1114399276 (540) 981-7128

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24018 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

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.

ALISON ENSOR DUNN MD

Pediatrics