Active NPI
Om Samantray, M.D.
- Internal Medicine Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101253649
- Practice address
- 1906 Belleview Ave SE
Roanoke, VA 24014-1838 - Phone
- (540) 981-7000
- Fax
- (540) 853-0931
- NPI assigned
- Mar 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101-253649 | VA | |
| Hospitalist Physician | 208M00000X | 0101253649 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 0101253649 | VA | Primary |
Addresses
Primary practice location
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477877439 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WV, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Elm Ave
Roanoke, VA 24013-2222
Phone (540) 224-4380
101 Elm Ave SE
FL 3
Roanoke, VA 24013-2222
Phone (540) 224-6780
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925
2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128
Hospital & facility affiliations
- Carilion Home Care Services - Roanoke
- Carilion Medical Center
- Carilion New River Valley Medical Center
- Carilion Franklin Memorial Hospital
- Princeton Community Hospital Assn Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-253649 | VA | MD | Internal Medicine Physician |
| 0101253649 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Southeastern Intensivist Services PC | Internal Medicine | Current | Accepting new patients |
| Charleston Area Medical Center, Inc. | Hospitalist | Current | Accepting new patients |
| MCV Associated Physicians | Current | Accepting new patients | |
| Carilion Rockbridge Community Hospital | Current | Accepting new patients | |
| Carilion Rockbridge Community Hospital | Internal Medicine | Current | Accepting new patients |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Medical Center | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
120 Riverview St
Franklin, NC 28734
Phone (800) 627-5670
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
401 N 12th St
Richmond, VA 23298
Phone (804) 628-6975
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311
500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000
1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870
Interoperability endpoints
- osamantray17882@direct.carilionclinic.org
Organizations & group practices 16
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Multi-Specialty Clinic/Center
- Lexington, VA
- NPI 1174636021
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
- Hospitalist Physician
- West Memphis, AR
- NPI 1912942665
Internal Medicine, VA
-
- Rural Health Clinic/Center
- Rocky Mount, VA
- NPI 1346868486
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rocky Mount, VA
- NPI 1710970918
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Home Health Agency
- Roanoke, VA
- NPI 1073506002
-
- General Acute Care Hospital
- Christiansburg, VA
- NPI 1376536573
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1477877439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5715",
"fax_number": "540-224-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 BELLEVIEW AVE SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141838",
"telephone_number": "540-981-7000",
"fax_number": "540-853-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMANTRAY",
"first_name": "OM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-19",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101-253649",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101253649",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101253649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477877439",
"state": "VA"
}
],
"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 Feb 12, 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.