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

Roshen Thomas Edathil, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1114327467

Roshen Thomas Edathil, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Winston Salem, North Carolina. Qualified in 2014, 12 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2014
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

145 Kimel Park Dr Ste 120
Winston Salem, NC 27103-6984
Phone: (336) 768-3212
Fax: (336) 768-9019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 5062 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 232623 (NC)

Record details

NPI number1114327467
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 23, 2014
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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