Individual provider Active NPI

Om Samantray, M.D.

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1477877439
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101253649 Issued in VA
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

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1477877439MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130816000866 VA Practitioner - Internal Medicine 6901048156 Reassigns benefits to 6 organizations
I20200128002502 WV Practitioner - Internal MedicinePractitioner - Hospitalist 6901048156 Reassigns benefits to 1 organization
I20221014001321 NC Practitioner - Internal Medicine 6901048156 Reassigns benefits to 1 organization

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
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

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 Home health agency, Roanoke, VA, CCN 497258
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089
  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101-253649VAMDInternal Medicine Physician
0101253649VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Sep 1, 2022 Accepting new patients
Carilion Medical Center CurrentSince Jul 14, 2013 Accepting new patients
Carilion Medical Center CurrentSince Jul 14, 2013 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jul 18, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 14, 2013 Accepting new patients
Carilion Giles Community Hospital Current Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Jan 29, 2022 Accepting new patients
Charleston Area Medical Center, Inc. Hospitalist CurrentSince Jul 18, 2023 Accepting new patients
MCV Associated Physicians CurrentSince Jun 17, 2023 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince May 16, 2020 Accepting new patients
Carilion Rockbridge Community Hospital Internal Medicine CurrentSince May 16, 2020 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Carilion Giles Community Hospital CurrentSince May 16, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince May 16, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 14, 2013 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

  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.