Individual provider Active NPI

Omid Entezari, M.D.

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1235361007
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101259479 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7000
NPI assigned
Aug 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0074856 MD
Internal Medicine Physician 207R00000X 0101259479 VA Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5353

Other practice location 1

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118

Other practice location 2

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-5323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA, PA, WV5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20121108000556 DC Practitioner - Internal MedicinePractitioner - Hospitalist 0446401905 Reassigns benefits to 8 organizations
I20140312000553 MD Practitioner - Internal Medicine 0446401905 Reassigns benefits to 4 organizations
I20170502002321 VA Practitioner - Internal Medicine 0446401905 Reassigns benefits to 8 organizations
I20241120000804 PA Practitioner - Internal Medicine 0446401905 Reassigns benefits to 1 organization
I20250228000449 WV Practitioner - Internal Medicine 0446401905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Specialty Physicians of Garrett County, LLCGroup PAC ID 5698082436, 86 clinicians
Hospitalist Medicine Physicians of Maryland PCGroup PAC ID 8729138003, 71 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

251 N 4TH St
Specialty Physicians of Garrett County
Oakland, MD 21550-1375
Phone (301) 533-4000

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3300

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

Hospital & facility affiliations

  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
  • Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101259479VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Giles Community Hospital CurrentSince May 8, 2025 Accepting new patients
MGMC, LLC CurrentSince Jul 2, 2014 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Feb 5, 2017 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince May 8, 2025 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Nov 18, 2024 Accepting new patients
Specialty Physicians of Garrett County, LLC Current Accepting new patients
Carilion Healthcare Corporation CurrentSince May 8, 2025 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Aug 5, 2018 Accepting new patients
Carilion Medical Center CurrentSince May 8, 2025 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 5, 2017 Accepting new patients
M Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Carilion Healthcare Corporation CurrentSince May 8, 2025 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Dec 9, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince May 8, 2025 Accepting new patients
M Medical Group, Inc. Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Nov 18, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Jan 14, 2021 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 2, 2014 Accepting new patients
Potomac Valley Hospital of WV, Inc. Internal Medicine CurrentSince Dec 9, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2021 Accepting new patients
Carilion Medical Center CurrentSince May 8, 2025 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Medical Faculty Associates, Inc Internal Medicine CurrentSince Mar 2, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations (25 of 39)

223 7th St NE
Washington, DC 20002
Phone (202) 543-4800

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

2131 O St NW
Washington, DC 20037
Phone (202) 785-2577

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

4601 Martin Luther King Jr Ave SW
Washington, DC 20032
Phone (202) 373-5840

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1235361007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8118 Good Luck Rd",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063574",
            "country_code": "US",
            "telephone_number": "301-552-8118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Southern Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200324623",
            "country_code": "US",
            "telephone_number": "202-574-5323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENTEZARI",
        "first_name": "OMID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0074856",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101259479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.