Beth Ann Omundsen-Ott, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

0101044204 Issued in VA

Practice address

104 Selma Dr
Winchester, VA 22601-3834

Phone

(540) 678-2800

Fax

(540) 678-2859

NPI assigned

Jan 24, 2006

Last updated

Mar 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA, WV2 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 2

Specialty

Family Practice

Education

Pennsylvania State University College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Selma Medical Assoc IncGroup PAC ID 5092618611, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Medical Center Hospital, Winchester, VA, CCN 490005

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beth.omundsenott@direct.selma.nextgenshare.com

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.

• Selma Medical Assoc Inc

  • Internal Medicine Physician
  • Winchester, VA
  • NPI 1144325721
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WV

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD
• Beth a Omundsen MD PLC

  • Family Medicine Physician
  • Winchester, VA
  • NPI 1679877757
  NPD (past)
• Shenandoah Valley Medical System, Inc.

  dba Shenandoah Community Health Widmyer Elementary

  • Federally Qualified Health Center (FQHC)
  • Berkeley Springs, WV
  • NPI 1568186153
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017
  Care Compare affiliation
• Winchester Medical Center

  dba Valley Health Laboratories

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1356311161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SELMA DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013834",
            "telephone_number": "540-678-2800",
            "fax_number": "540-678-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SELMA DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013834",
            "telephone_number": "540-678-2800",
            "fax_number": "540-678-2859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Valley Ave.",
            "address_2": "Suite 100-102",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012668",
            "country_code": "US",
            "telephone_number": "540-723-4994",
            "fax_number": "540-723-9699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Amherst St Ste C",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013000",
            "country_code": "US",
            "telephone_number": "540-722-2369",
            "fax_number": "540-722-6601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMUNDSEN-OTT",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101044204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005627915",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shencommhealth.com",
            "affiliation": "N",
            "address_1": "1330 Amherst St Ste C",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226013000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cassandra Olenski
• Tatiana Rocha Oliveira, D.D.S
• Derek Oliver
• Thomas Wright Oliver, M.D.
• Kelsey Lynn Olsavsky, PA-C
• Nkechi Onokwai, MD
• Opequon Rehabilitation & Wellness, PC
• Orchard Family Medicine, PC
• Amy D Orndorff
• Katherine Orndorff

• Adult Medicine Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Adult Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.