Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Mentor Thaqi's specialty?

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

Q: 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 7 days 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.

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: August 23, 2026.

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

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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

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Secondary Practice Locations 4

Location 118101 Lorain AveCleveland, OH 44111-5612 · Phone (216) 476-7000

Location 214601 Detroit AveLakewood, OH 44107-4205 · Phone (216) 237-5500

Location 320000 Harvard AveWarrensville Heights, OH 44122-6805 · Phone (216) 491-6000

Location 49500 Euclid Ave # Jj24Cleveland, OH 44195-0001 · Phone (216) 444-2200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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