Individual provider Active NPI

Samkon K Gado, MD

  • Otolaryngology Physician
  • Lynchburg, VA
National Provider Identifier
1497142145
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101269953 Issued in VA
Practice address
2321 Atherholt Rd
Lynchburg, VA 24501-2113
Phone
(434) 947-3993
Fax
(434) 947-3992
NPI assigned
Apr 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101269953 VA Primary

Addresses

Primary practice location

2321 Atherholt Rd
Lynchburg, VA 24501-2113

Mailing address

2321 Atherholt Rd
Lynchburg, VA 24501-2113
Phone (434) 947-3993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200708000956 VA Practitioner - Otolaryngology 4486956810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical University of South Carolina College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge E N T and P S IncGroup PAC ID 5698872778, 14 clinicians

Practice addresses (Care Compare)

2321 Atherholt Rd
Lynchburg, VA 24501-2113
Phone (434) 947-3993

Hospital & facility affiliations

  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021

Merit-based Incentive Payment System (MIPS)

Final score
81.82 of 100Reported as group
Quality
62.5
Promoting interoperability
100
Improvement activities
40
Cost
76.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101269953VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge E N T & P S Inc. Otolaryngology CurrentSince May 28, 2020 Accepting new patients

Locations

2321 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 947-3993

Interoperability endpoints

  • Direct secure messaging: samkongado@brepsi.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1497142145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012113",
            "telephone_number": "434-947-3993",
            "fax_number": "844-689-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012113",
            "telephone_number": "434-947-3993",
            "fax_number": "434-947-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADO",
        "first_name": "SAMKON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101269953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.