NPIMap

Individual provider Active NPI

Omar Youssef Elkhamra, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Lynchburg, VA
National Provider Identifier
1497903678
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
0101254352 Issued in VA
Practice address
2405 Atherholt Rd
Lynchburg, VA 24501-2184
Phone
(434) 485-8500
Fax
(434) 485-8599
NPI assigned
Aug 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X MT202855 PA
Sports Medicine (Internal Medicine) Physician 207RS0010X 0101254352 VA Primary

Addresses

Primary practice location

2405 Atherholt Rd
Lynchburg, VA 24501-2184

Mailing address

2405 Atherholt Rd
Lynchburg, VA 24501-2184
Phone (434) 485-8500

Other practice location 1

14521 Forest Rd Ste D
Forest, VA 24551-4079
Phone (434) 485-8555

Other identifiers 1

IdentifierTypeStateIssuer
1497903678MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oelkhamra6100@direct.orthovirginia.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130801000074 VA Practitioner - Internal MedicinePractitioner - Sports Medicine 3577687441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sports Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1409 S Main St
Farmville, VA 23901-2531
Phone (434) 392-1512

165 Holt Garrison Pkwy
Danville, VA 24540-5949
Phone (434) 688-0163

216 Amelon SQ
Madison Heights, VA 24572-5981
Phone (434) 225-4210

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Roanoke, VA, CCN 497275
  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT202855PAMDSports Medicine (Internal Medicine) Physician
0101254352VAMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia Inc Current Accepting new patients
Orthovirginia, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Orthovirginia, Inc CurrentSince Jan 1, 2016 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Orthovirginia, Inc. Past Accepting new patients
Hospital Medicine Associates of Ohio Professional Corporation Past Accepting new patients

Locations

1409 S Main St
Farmville, VA 23901
Phone (434) 207-5170

14521 Forest Rd
Ste D
Forest, VA 24551
Phone (434) 485-8500

2405 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 485-8500

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

Interoperability endpoints

  • Direct secure messaging: oelkhamra6100@direct.orthovirginia.com

Organizations & group practices 7

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 8

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": "1220140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1497903678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012184",
            "telephone_number": "434-485-8500",
            "fax_number": "434-485-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012184",
            "telephone_number": "434-485-8500",
            "fax_number": "434-485-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14521 Forest Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245514079",
            "country_code": "US",
            "telephone_number": "434-485-8555",
            "fax_number": "434-485-8594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKHAMRA",
        "first_name": "OMAR",
        "middle_name": "YOUSSEF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-31",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "PA",
            "license": "MT202855",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "VA",
            "license": "0101254352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497903678",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oelkhamra6100@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Omar Elkhamra direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2405 Atherholt Rd",
            "city": "Lynchburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245012184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.