Organization Active NPI

Valley Internal Medicine Associates P.C.

  • Internal Medicine Physician
  • Salem, VA
National Provider Identifier
1255438461
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Dr. Syed A Raza, MDNPI 1326027301
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CH8125OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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

  • FHIR API: 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.

Verify at the official NPI Registry.