Individual provider Active NPI

Vijaya Y. Samadi, M.D.

  • Emergency Medicine Physician
  • Nelsonville, OH
National Provider Identifier
1245200872
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-084919 Issued in OH
Practice address
1950 Mount Saint Marys Dr
Nelsonville, OH 45764-1280
Phone
(740) 753-1931
Fax
(740) 753-3177
NPI assigned
Jan 25, 2006
Sex
Female
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 35-084919 OH Primary

Addresses

Primary practice location

1950 Mount Saint Marys Dr
Nelsonville, OH 45764-1280

Mailing address

PO Box 65274
Charlotte, NC 28265-0274
Phone (800) 377-8721

Other identifiers 1

IdentifierTypeStateIssuer
2510714MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN, GU4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050126001106 OH Practitioner - Emergency Medicine 1153300843 Reassigns benefits to 1 organization
I20161130001099 KY Practitioner - Emergency Medicine 1153300843 Reassigns benefits to 1 organization
I20171023001417 IN Practitioner - Emergency Medicine 1153300843 Reassigns benefits to 2 organizations
I20231023003502 GU Practitioner - Emergency Medicine 1153300843 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-084919OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Healthcare Corporation CurrentSince Aug 27, 2023 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Commonwealth Healthcare Corporation Current Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Aug 27, 2023 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince Apr 17, 2024 Accepting new patients
Western Healthcare Services Kentucky LLC Emergency Medicine CurrentSince Feb 10, 2022 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Oct 23, 2023 Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
JMHC Inc Past Accepting new patients
Appalachian Regional Healthcare, Inc Emergency Medicine Past Accepting new patients
Owen Emergency Physicians Emergency Medicine Past Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients
Appalachian Regional Healthcare, Inc. Emergency Medicine Past Accepting new patients
Madison Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

210 N Main St
London, OH 43140
Phone (740) 845-7343

Organizations & group practices 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245200872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65274",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282650274",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MOUNT SAINT MARYS DR",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "457641280",
            "telephone_number": "740-753-1931",
            "fax_number": "740-753-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADI",
        "first_name": "VIJAYA",
        "middle_name": "Y.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-084919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2510714",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nelsonville, OH

Sources for this page

Verify at the official NPI Registry.