Active NPI
Valley Internal Medicine Associates P.C.
- Internal Medicine Physician
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VALLEY INTERNAL MEDICINE ASSOCIATES P.C.
- Practice address
- 3737 W. Main Street
Ste 102
Salem, VA 24153-2073 - Phone
- (540) 380-3722
- Fax
- (833) 378-0873
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Syed A Raza, MD
- Title
- Treasurer
- Phone
- (540) 380-3722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3737 W. Main Street
Ste 102
Salem, VA 24153-2073
Mailing address
3737 W. Main Street
Ste 102
Salem, VA 24153-2073
Phone (540) 380-3722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH8125 | Other | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041109000491 | VA | Part B Supplier - Clinic/Group Practice | 3173586377 |
Receives reassigned benefits from 3 practitioners Practice locations: Roanoke, VA; Salem, VA |
National Provider Directory
National Provider DirectoryLocations
2149 Electric Rd
Ste 1
Roanoke, VA 24018
2149 Electric Rd
Ste 100
Roanoke, VA 24018
2149 Electric Rd
Roanoke, VA 24018
Phone (540) 725-7555
3737 W Main St
Ste 102
Salem, VA 24153
Phone (540) 380-3722
Interoperability endpoints
- https://api.platform.athenahealth.com/20989/brand/1/csg/1/fhir/r4
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1255438461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 W. MAIN STREET",
"address_2": "STE 102",
"city": "SALEM",
"state": "VA",
"postal_code": "241532073",
"telephone_number": "540-380-3722",
"fax_number": "833-378-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 W. MAIN STREET",
"address_2": "STE 102",
"city": "SALEM",
"state": "VA",
"postal_code": "241532073",
"telephone_number": "540-380-3722",
"fax_number": "833-378-0873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY INTERNAL MEDICINE ASSOCIATES P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2024-03-14",
"certification_date": "2020-08-12",
"status": "A",
"authorized_official_last_name": "RAZA",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "540-380-3722",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CH8125",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.