KEVIN GLEIM NPI 1124530845

NPI Information

  • NPI: 1124530845
  • Provider Name: KEVIN GLEIM
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2001 CRYSTAL SPRING AVE SW
    ROANOKE, VA
    ZIP 24014
  • Phone: (540) 981-7000

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NPI Details

Kevin Gleim is a medical physician assistant in Roanoke, VA. Kevin Gleim NPI is 1124530845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2001 CRYSTAL SPRING AVE SW
ROANOKE, VA
ZIP 24014-462
Phone: (540) 981-7000

The NPI 1124530845 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/3/2017 and was last updated on 12/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical0110010529VIRGINIAYes
2363A00000XPhysician AssistantNo
3363A00000XPhysician AssistantPA9111118FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1123109200MEDICAIDFLORIDA
2MQH91OTHERFLORIDABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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