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MELANIE K PRUSAKOWSKI M.D.
NPI 1689699712
Pediatrics - Pediatric Emergency Medicine in Roanoke, VA

Active since July 12, 2006PECOS Enrolled
1906 BELLEVIEW AVE SE, CARILION ROANOKE MEMORIAL HOSPITAL PEDS ED, ROANOKE, VA 24014(540) 981-8919 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Melanie K Prusakowski M.d. NPPES

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

MELANIE K PRUSAKOWSKI M.D. (NPI 1689699712) is an individual pediatric emergency medicine provider in Roanoke, Virginia, licensed in Virginia (0101243116) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689699712
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameMELANIE K PRUSAKOWSKICredential: M.D.
Location Address1906 BELLEVIEW AVE SE, CARILION ROANOKE MEMORIAL HOSPITAL PEDS EDRoanoke, VA 24014-1838
Mailing Address1 Riverside Cir, 4th Floor, Ed AdministrationRoanoke, VA 24016-4961 · (540) 597-4234
Phone(540) 981-8919
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 19, 2016
✔ NPI 1689699712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in VA · 0101243116
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 0101243116 (VA)
1906 BELLEVIEW AVE SE, Roanoke, VA 24014
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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)

Melanie K Prusakowski M.d. 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 Melanie Prusakowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carilion Medical Center
Same address
Emergency Medicine
1906 BELLEVIEW AVE SE, EMERGENCY DEPARTMENT
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 193 clinicians in this Medicare group
NPI 1649423815 (540) 981-7000

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

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.

JOHN K THOMPSON PA-C, ATC
Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. JAMES LIGHT MD
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
SUJINA PRADHAN M.D.
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. SAMMY ZAKI ELSARRAG M.D.
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NIMA JAHROMI DO
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
TAYLOR ALEXIS KEYS
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NATHAN WILLIAM WAKEFIELD
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
ASHLYN BROOKE CONRAD
Nurse Practitioner
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000

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 Melanie Prusakowski's NPI number?

The NPI number for Melanie Prusakowski is 1689699712. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Melanie Prusakowski located?

Melanie Prusakowski practices at 1906 Belleview Ave SE Carilion Roanoke Memorial Hospital Peds Ed, Roanoke, VA 24014. The listed phone number is (540) 981-8919.

What is Melanie Prusakowski's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Melanie Prusakowski enrolled in Medicare?

Yes. Melanie Prusakowski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melanie Prusakowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Prusakowski reassigns Medicare benefits to Carilion Medical Center (Roanoke, VA). The 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 Melanie Prusakowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melanie Prusakowski was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.