NICHOLAS GEORGE KAKNES MD
NPI 1740556471
Internal Medicine in Roanoke, VA

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
1824 9TH ST SE STE C, ROANOKE, VA 24013(540) 595-9332(540) 766-5456 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2025, Nov 4, 2025, Apr 9, 2025 and 1 more (4 updates tracked since 2016).

About Nicholas George Kaknes Md NPPES

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

NICHOLAS GEORGE KAKNES MD (NPI 1740556471) is an individual internal medicine provider in Roanoke, Virginia, licensed in Florida (ME124823) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1740556471
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS GEORGE KAKNESCredential: MD
Location Address1824 9TH ST SE STE CRoanoke, VA 24013-2902
Mailing Address1824 9th St Se Ste CRoanoke, VA 24013-2902 · (540) 595-9332 · Fax (540) 766-5456
Fax(540) 766-5456
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 27, 2012
Last NPPES UpdateNovember 11, 20254 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1740556471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME124823
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License ME124823 (FL)
1824 9TH ST SE STE C, Roanoke, VA 24013

Secondary Practice Location 1

Location 11611 NW 12th Ave, Central 600-DMiami, FL 33136-1005 · Phone (786) 351-8388

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas George Kaknes Md 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 ID7618320284
PECOS Enrollment IDI20240830001904
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 Reassignments

2

Medicare enrollment records show Nicholas Kaknes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1802 BRAEBURN DR
Salem, VA 24153
  • Reassigned Medicare billing, Virginia enrollment
  • 188 clinicians in this Medicare group
Hospitalist
1900 ELECTRIC RD
Salem, VA 24153
  • Reassigned Medicare billing, Virginia enrollment
  • 181 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
352 services340 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Lewisgale Hospital Alleghany

Acute Care Hospitals · Low Moor, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490126
LocationOne Arh Lane - PO Box 7Low Moor, VA 24457 · Alleghany County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24013 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1824 9TH ST SE STE C
ROANOKE, VA 24013

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 Nicholas Kaknes's NPI number?

The NPI number for Nicholas Kaknes is 1740556471. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Nicholas Kaknes located?

Nicholas Kaknes practices at 1824 9th St SE Ste C, Roanoke, VA 24013. The listed phone number is (540) 595-9332.

What is Nicholas Kaknes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Kaknes enrolled in Medicare?

Yes. Nicholas Kaknes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicholas Kaknes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Kaknes reassigns Medicare benefits to 2 organizations: Lewis Gale Physicians LLC (Salem, VA) and Lake Spring Physician Services, LLC (Salem, VA). Each 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 Nicholas Kaknes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Kaknes accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 8 other insurers list Nicholas Kaknes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Kaknes affiliated with any hospitals?

According to CMS data, Nicholas Kaknes is affiliated with Lewisgale Medical Center and Lewisgale Hospital Alleghany.

When was this NPI record last updated?

The NPPES record for Nicholas Kaknes was last updated on November 11, 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.