Active NPI
Steven Joseph Collins, M.D.
- Internal Medicine Physician
- Roanoke, VA
National Provider Identifier
1396736260
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jan 20, 2016.
- Section 1128b(4) exclusion effective Apr 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101055266
- Practice address
- 5720 Williamson Rd
Suite 109
Roanoke, VA 24012-1225 - Phone
- (540) 491-9893
- Fax
- (540) 301-3522
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101055266 | VA | Primary |
Addresses
Primary practice location
5720 Williamson Rd
Suite 109
Roanoke, VA 24012-1225
Mailing address
5720 Williamson Rd
Suite 109
Roanoke, VA 24012-1225
Phone (540) 491-9893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Doctors Office, PC | Past | Accepting new patients | |
| Fort Yates Indian Health Service Hospital | Past | Accepting new patients | |
| Fort Yates Indian Health Service Hospital | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Roanoke, VA
- NPI 1730382052
-
- Health Service Clinic/Center
- Bullhead, SD
- NPI 1497347579
-
- Clinic/Center
- McLaughlin, SD
- NPI 1710037288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1396736260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 WILLIAMSON RD",
"address_2": "SUITE 109",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240121225",
"telephone_number": "540-491-9893",
"fax_number": "540-301-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 WILLIAMSON RD",
"address_2": "SUITE 109",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240121225",
"telephone_number": "540-491-9893",
"fax_number": "540-301-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "STEVEN",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101055266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.