Active NPI
Omid Entezari, M.D.
- Internal Medicine Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101259479
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Frederick Health Hospital
- Garrett Regional Medical Center
- Carilion Medical Center
- Medstar Southern Maryland Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101259479 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current | Accepting new patients |
| Carilion Rockbridge Community Hospital | Current | Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current | Accepting new patients |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Maryland PC | Internal Medicine | Current | Accepting new patients |
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Mary Washington Healthcare Providers LLC | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Internal Medicine | Current | Accepting new patients |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| M Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of Maryland, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Potomac Valley Hospital of WV, Inc. | Internal Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Maryland PC | Internal Medicine | Current | Accepting new patients |
| Medical Faculty Associates, Inc | Internal Medicine | Current | 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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Hospitalist Physician
- Frederick, MD
- NPI 1992945471
DC, Internal Medicine
-
- Obstetrics & Gynecology Physician
- Oakland, MD
- NPI 1265819866
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Multi-Specialty Clinic/Center
- Lexington, VA
- NPI 1174636021
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, MD
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
DC
-
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1750826277
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Oakland, MD
- NPI 1598417412
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.