NPIMap

Individual provider Active NPI

Samuel Pilla, MD

  • Emergency Medicine Physician
  • Keyser, WV
National Provider Identifier
1285261081
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
32765 Issued in WV
Practice address
100 Pin Oak LN
Keyser, WV 26726-5908
Phone
(304) 597-3500
Fax
(304) 597-3513
NPI assigned
Mar 24, 2020
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 32765 WV Primary
Family Medicine Physician 207Q00000X 32765 WV

Addresses

Primary practice location

100 Pin Oak LN
Keyser, WV 26726-5908

Mailing address

100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807004757 WV Practitioner - Family Practice 8426595471 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Braxton County Memorial HospitalGroup PAC ID 5193717759, 46 clinicians
Potomac Valley Hospital of W VA , IncGroup PAC ID 8123917788, shared by 6 NPIs, 90 clinicians

Practice addresses (Care Compare)

1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000

100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156

100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Memorial Hospital Inc CurrentSince Oct 9, 2025 Accepting new patients
St Josephs Hospital of Buckhannon Inc CurrentSince Oct 8, 2025 Accepting new patients
Wetzel County Hospital, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Potomac Valley Hospital of W VA , Inc Emergency Medicine CurrentSince May 21, 2024 Accepting new patients
Braxton County Memorial Hospital CurrentSince Oct 25, 2025 Accepting new patients
Wetzel County Hospital, Inc. Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Potomac Valley Hospital of WV, Inc. Emergency Medicine CurrentSince May 21, 2024 Accepting new patients
Grant Memorial Hospital Inc Family Medicine CurrentSince Oct 9, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Oct 25, 2025 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Sep 26, 2025 Accepting new patients

Locations

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

117 Hospital Dr
Petersburg, WV 26847
Phone (304) 257-2527

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1285261081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PIN OAK LN",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267265908",
            "telephone_number": "304-597-3500",
            "fax_number": "304-597-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIN OAK LN",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267265908",
            "telephone_number": "304-597-3500",
            "fax_number": "304-597-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLA",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "32765",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "32765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

Verify at the official NPI Registry.