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KATHLEEN CLANCY DO, MPH
NPI 1902369374
Radiology - Vascular & Interventional Radiology in Roanoke, VA

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7083(540) 981-8260 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 28, 2026, Apr 11, 2019 (2 updates tracked since 2019).

About Kathleen Clancy Do, Mph NPPES

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

KATHLEEN CLANCY DO, MPH (NPI 1902369374) is an individual vascular & interventional radiology provider in Roanoke, Virginia, licensed in Virginia (0102209132) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1902369374
Entity TypeIndividualFemale
Primary Taxonomy2085R0204X
Provider Legal NameKATHLEEN CLANCYCredential: DO, MPH
Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Phone(540) 981-7083
Fax(540) 981-8260
Sole ProprietorNo
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2019
Enumeration DateApril 11, 2019
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1902369374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in VA · 0102209132
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1906 BELLEVIEW AVE SE, Roanoke, VA 24014
Open in Google Maps ↗

Other Names 1

Other Name (5)Kate Clancy

Secondary Practice Location 1

Location 11411 E 31st StOakland, CA 94602-1018 · Phone (510) 437-4965

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

Kathleen Clancy Do, Mph 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 ID9032612213
PECOS Enrollment IDI20250912001946
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

4

Medicare enrollment records show Kathleen Clancy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Medical Center
Same address
Multi-Specialty
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
NPI 1730123472 (540) 981-7000
Carilion Giles Community Hospital
11 mi
Rural Health
22890 VIRGIL GOODE HWY.
Boones Mill, VA 24065
  • Reassigned Medicare billing, Virginia enrollment
  • 608 clinicians in this Medicare group
NPI 1154948271 (540) 334-5511
Carilion Rockbridge Community Hospital
22 mi
Rural Health
18080 MAIN ST
Buchanan, VA 24066
  • Reassigned Medicare billing, Virginia enrollment
  • 507 clinicians in this Medicare group
NPI 1144848003 (540) 254-1239
Carilion Tazewell Community Hospital
86 mi
General Acute Care Hospital
388 BEN BOLT AVE
Tazewell, VA 24651
  • Reassigned Medicare billing, Virginia enrollment
  • 118 clinicians in this Medicare group
NPI 1427040328 (276) 988-8700

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

Hospital Affiliations CMS Care Compare 2

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Carilion New River Valley Medical Center

Acute Care Hospitals · Christiansburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490042
Location2900 Lamb CircleChristiansburg, VA 24073 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

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 Kathleen Clancy's NPI number?

The NPI number for Kathleen Clancy is 1902369374. It was assigned to this individual provider in the NPPES registry on April 11, 2019. The provider is also known as Kate Clancy.

Where is Kathleen Clancy located?

Kathleen Clancy practices at 1906 Belleview Ave SE, Roanoke, VA 24014. The listed phone number is (540) 981-7083.

What is Kathleen Clancy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Kathleen Clancy enrolled in Medicare?

Yes. Kathleen Clancy 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 Kathleen Clancy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Clancy reassigns Medicare benefits to 4 organizations: Carilion Medical Center (Roanoke, VA), Carilion Giles Community Hospital (Boones Mill, VA), Carilion Rockbridge Community Hospital (Buchanan, VA) and Carilion Tazewell Community Hospital (Tazewell, 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 Kathleen Clancy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kathleen Clancy affiliated with any hospitals?

According to CMS data, Kathleen Clancy is affiliated with Carilion Medical Center and Carilion New River Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kathleen Clancy was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.