Individual provider Active NPI

Tom A Sayvetz, MD

  • Emergency Medicine Physician
  • Ronceverte, WV
National Provider Identifier
1104807445
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17949 Issued in WV
Practice address
202 Maplewood Ave
Greenbrier Valley Medical Center
Ronceverte, WV 24970-1334
Phone
(304) 647-4411
Fax
(304) 647-6064
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17949 WV Primary

Addresses

Primary practice location

202 Maplewood Ave
Greenbrier Valley Medical Center
Ronceverte, WV 24970-1334

Mailing address

PO Box 808
Winfield, WV 25213-0808
Phone (304) 586-0771

Other identifiers 1

IdentifierTypeStateIssuer
5600562000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17949WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Imaging Consultants Inc. Past Accepting new patients
BJSM Med Inc Emergency Medicine Past Accepting new patients
Greenbrier Valley Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104807445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "252130808",
            "telephone_number": "304-586-0771",
            "fax_number": "304-586-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAPLEWOOD AVE",
            "address_2": "GREENBRIER VALLEY MEDICAL CENTER",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701334",
            "telephone_number": "304-647-4411",
            "fax_number": "304-647-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYVETZ",
        "first_name": "TOM",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "17949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5600562000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronceverte, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.