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MENTOR THAQI DPM/PHD
NPI 1902595523
Podiatrist in Roanoke, VA

Active since May 01, 2023PECOS Enrolled
3 RIVERSIDE CIR, ROANOKE, VA 24016(540) 510-6200(540) 857-5306 Get Directions Write a Review

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

Record update history: Aug 18, 2026, May 1, 2023 (2 updates tracked since 2023).

About Mentor Thaqi Dpm/phd NPPES

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

MENTOR THAQI DPM/PHD (NPI 1902595523) is an individual podiatrist in Roanoke, Virginia, licensed in Virginia (0103301508) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1902595523
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMENTOR THAQICredential: DPM/PHD
Location Address3 RIVERSIDE CIRRoanoke, VA 24016-4955
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5516
Phone(540) 510-6200
Fax(540) 857-5306
Sole ProprietorYes
Enumeration DateMay 1, 2023
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1902595523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in VA · 0103301508
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3 RIVERSIDE CIR, Roanoke, VA 24016
Open in Google Maps ↗

Secondary Practice Locations 4

Location 114601 Detroit AveLakewood, OH 44107-4205 · Phone (216) 237-5500
Location 220000 Harvard AveWarrensville Heights, OH 44122-6805 · Phone (216) 491-6000
Location 318101 Lorain AveCleveland, OH 44111-5612 · Phone (216) 476-7000
Location 49500 Euclid Ave # Jj24Cleveland, OH 44195-0001 · Phone (216) 444-2200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mentor Thaqi Dpm/phd 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 Reassignments

5

Medicare enrollment records show Mentor Thaqi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Healthcare Corporation
1.1 mi
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
NPI 1447206370 (540) 224-5452
Carilion Medical Center
1.6 mi
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
12 mi
Rural Health
22890 VIRGIL GOODE HWY.
Boones Mill, VA 24065
  • Reassigned Medicare billing, Virginia enrollment
  • Also billed through NPI 1023663267 (Virginia)
  • 608 clinicians in this Medicare group
NPI 1154948271 (540) 334-5511
Carilion Franklin Memorial Hospital
19 mi
General Acute Care Hospital
180 FLOYD AVE
Rocky Mount, VA 24151
  • Reassigned Medicare billing, Virginia enrollment
  • 127 clinicians in this Medicare group
NPI 1710970918 (540) 483-5277
Carilion Rockbridge Community Hospital
22 mi
Rural Health
18080 MAIN ST
Buchanan, VA 24066
  • Reassigned Medicare billing, Virginia enrollment
  • Also billed through NPI 1942854427 (Virginia)
  • 507 clinicians in this Medicare group
NPI 1144848003 (540) 254-1239

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 24016 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.

DR. JED DAVID GONZALO M.D.
Internal Medicine
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
KRISTIN MCCOY MD
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
MRS. MODUPE OLUWASEYI JOLAOSO WHITE FNP-C
Nurse Practitioner (Family)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
KELLY KUGACH
Podiatrist (Foot & Ankle Surgery)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 510-6200
VISHAL B. GOHIL M.D.
Internal Medicine (Gastroenterology)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
CARLOS MORA
Psychiatry & Neurology (Neurology)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
DR. GUY KATZ MD
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
ASTRID BOTTY VAN DEN BRUELE M.D.
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170

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 Mentor Thaqi's NPI number?

The NPI number for Mentor Thaqi is 1902595523. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Mentor Thaqi located?

Mentor Thaqi practices at 3 Riverside Cir, Roanoke, VA 24016. The listed phone number is (540) 510-6200.

What is Mentor Thaqi's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Mentor Thaqi enrolled in Medicare?

Yes. Mentor Thaqi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mentor Thaqi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mentor Thaqi reassigns Medicare benefits to 5 organizations: Carilion Healthcare Corporation (Roanoke, VA), Carilion Medical Center (Roanoke, VA), Carilion Giles Community Hospital (Boones Mill, VA), Carilion Franklin Memorial Hospital (Rocky Mount, VA) and Carilion Rockbridge Community Hospital (Buchanan, 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 Mentor Thaqi'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 Mentor Thaqi was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.