Individual provider Active NPI

Steven Joseph Collins, M.D.

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1396736260
Registry record updated Jan 20, 2011
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101055266 Issued in VA
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

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Doctors Office, PC PastSince Jun 1, 2007 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.

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

Verify at the official NPI Registry.