Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Patrick Kietrsunthorn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992251227

Patrick Kietrsunthorn, MD is a Cardiovascular Disease (Cardiology) in Roanoke, Virginia. Graduated from Albany Medical College of Union University in 2016, 10 years ago. Practices with Carilion Medical Center, a 951-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia and West Virginia.

Years since qualifying
10
Trained at
Albany Medical College of Union University
Licensed in
VA, WV
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 Crystal Spring Ave SW Ste 203
Roanoke, VA 24014-2465
Phone: (540) 982-8204
Fax: (540) 224-1059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Center Drive, Morgantown, WV 26506 — (304) 293-4239

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 0101278611 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WV)

Record details

NPI number1992251227
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 28, 2016
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023
Mailing address213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2016 (10 years in practice)
Group practice Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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