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MAZEN MADHOUN MD LLC
NPI 1679904338
Family Medicine in Roanoke, VA

Active since December 06, 2013
6002 WINNBROOK LN, ROANOKE, VA 24018(540) 397-5319(540) 947-3142 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2023, Feb 6, 2023 (2 updates tracked since 2023).

About Mazen Madhoun Md Llc NPPES

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

MAZEN MADHOUN MD LLC (NPI 1679904338) is a healthcare organization registered as a family medicine in Roanoke, Virginia and active in the NPI registry since December 2013. The organization lists Mazen Madhoun, Owner, as its authorized official.

NPPES Registry Identity

NPI1679904338
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAZEN MADHOUN MD LLC
Location Address6002 WINNBROOK LNRoanoke, VA 24018-7907
Mailing Address6002 Winnbrook LnRoanoke, VA 24018-7907 · (540) 397-5319 · Fax (540) 947-3142
Phone(540) 397-5319
Fax(540) 947-3142
Organization SubpartNo
Authorized OfficialMazen MadhounOwner · (540) 397-5319
Enumeration DateDecember 6, 2013
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1679904338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101247995
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6002 WINNBROOK LN, Roanoke, VA 24018
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mazen Madhoun Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Mazen Madhoun MD LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Mazen Madhoun, MD
Family Practice
NPI 1518127927
3737 W MAIN ST STE 101
Salem, VA 24153
(540) 380-4500
✔ PECOS✔ Accepts Medicare4.8 mi
Deetta Ray, NP
Nurse Practitioner
NPI 1265539068
2900 LAMB CIR SUITE 301
Christiansburg, VA 24073
(540) 731-7600
✔ PECOS✔ Accepts Medicare27 mi
Ramona Boyer, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1871967257
120 OLD VIRGINIA AVE
Rich Creek, VA 24147
(540) 726-2328
✔ PECOS✔ Accepts Medicare44 mi
Mishii Hamlor, NP
Nurse Practitioner
NPI 1669938825
4801 NEWBYS MILL TER
Chesterfield, VA 23832
(804) 908-8886
✔ PECOS✔ Accepts Medicare139 mi
Keisha James, FNP-C
Nurse Practitioner
NPI 1235660655
2580 PRUDEN BLVD
Suffolk, VA 23434
(804) 925-7600
✔ PECOS✔ Accepts Medicare194 mi

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

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 Mazen Madhoun MD LLC's NPI number?

The NPI number for Mazen Madhoun MD LLC is 1679904338. It was assigned to this organization in the NPPES registry on December 6, 2013.

Where is Mazen Madhoun MD LLC located?

Mazen Madhoun MD LLC is located at 6002 Winnbrook Ln, Roanoke, VA 24018. The listed phone number is (540) 397-5319.

What is Mazen Madhoun MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mazen Madhoun MD LLC enrolled in Medicare?

Yes. Mazen Madhoun MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mazen Madhoun MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Mazen Madhoun MD LLC. 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. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mazen Madhoun MD LLC was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.