Individual provider Active NPI

Sabo Uba, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1508106873
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024194484 Issued in VA
Practice address
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone
(540) 981-8025
NPI assigned
Feb 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN758858 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022008514 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024194484 VA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5021994 NC

Addresses

Primary practice location

2017 Jefferson St SW
Roanoke, VA 24014-2419

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice location 1

100 N Academy Ave
Danville, PA 17822-2522
Phone (570) 271-6516

Other practice location 2

700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone (336) 832-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA, MO, CT, OR, MN, AK, MI, NY, WI, CO, VA, NC13 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
I20131030001535 GA Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 10 organizations
I20220502000561 WA Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 8 organizations
I20220603002295 MO Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 2 organizations
I20220802003410 CT Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 1 organization
I20221003000681 OR Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 4 organizations
I20240326002926 MN Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 4 organizations
I20240809001855 AK Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 2 organizations
I20240826000668 MI Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 2 organizations
I20240905002016 NY Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 2 organizations
I20250407001649 WI Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 2 organizations
I20250415003039 CO Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 1 organization
I20251111000124 VA Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 1 organization
I20260111000078 NC Practitioner - Nurse Practitioner 4385889849 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians
Onslow Memorial Hospital IncGroup PAC ID 1456252899, 65 clinicians

Practice addresses (Care Compare)

Snellville, GA 30078
Phone (541) 222-2185

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711

11600 W 2ND PL
Sah Behavioral Health
Lakewood, CO 80228-1527
Phone (720) 321-0000

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

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

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3249

2701 W Edgewood Dr
101 SSM Health Medical Group Behaviora
Jefferson City, MO 65109-5890
Phone (573) 634-5303

2900 Lamb
700A
Christiansburg, VA 24073-6344
Phone (540) 731-7460

2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2992

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-7130

501 Billingsley Rd
Charlotte, NC 28211-1009
Phone (704) 444-2400

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089

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, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9738MNMDAudiologist-Hearing Aid Fitter
RN758858PAMDNurse Practitioner
2022008514MOMDPsychiatric/Mental Health Nurse Practitioner
5021994NCMDPsychiatric/Mental Health Nurse Practitioner
0024194484VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (60 of 62)

OrganizationSpecialtyStatusNew patients
McLaren Medical Group Nurse Practitioner Current Accepting new patients
Allina Health System CurrentSince Jan 4, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 22, 2022 Accepting new patients
Carilion Medical Center CurrentSince Aug 28, 2025 Accepting new patients
Allina Health System CurrentSince Jul 6, 2025 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 4, 2026 Accepting new patients
Fairview Health Services Current Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 1, 2022 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Jan 4, 2026 Accepting new patients
Peacehealth CurrentSince Sep 12, 2024 Accepting new patients
Allina Health System CurrentSince Jan 4, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 22, 2022 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Peacehealth CurrentSince Dec 18, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jun 21, 2025 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Aug 27, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 4, 2026 Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince Mar 6, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Legacy Clinics LLC CurrentSince Sep 7, 2022 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Jul 22, 2025 Accepting new patients
Dekalb Community Service Board CurrentSince Jun 30, 2018 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Peacehealth CurrentSince Mar 6, 2024 Accepting new patients
Peacehealth Medical Group CurrentSince Mar 6, 2024 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Aug 27, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Oct 24, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Carolinas Medical Center CurrentSince Oct 24, 2025 Accepting new patients
SSM Regional Health Services CurrentSince Aug 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Dec 15, 2022 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Jan 4, 2026 Accepting new patients
Peacehealth Current Accepting new patients
McLaren Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Fairview Express Care Current Accepting new patients
Allina Health System Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 11, 2025 Accepting new patients
Peacehealth Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 11, 2025 Accepting new patients
Mobolaji Shalom Oyebanjo, Inc CurrentSince Sep 15, 2013 Accepting new patients
Peacehealth CurrentSince Dec 18, 2024 Accepting new patients
Geisinger Clinic CurrentSince Aug 18, 2025 Accepting new patients
McLaren Medical Group CurrentSince Aug 1, 2024 Accepting new patients
SSM Regional Health Services CurrentSince Aug 1, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 15, 2022 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jun 21, 2025 Accepting new patients
Peacehealth CurrentSince Aug 12, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Mar 1, 2014 Accepting new patients
Nuvance Health Medical Practice PC Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients
Carilion Medical Center CurrentSince Aug 28, 2025 Accepting new patients
Geisinger Clinic CurrentSince Aug 18, 2025 Accepting new patients
Douglas County Public Health Services Group, Inc. PastSince May 1, 2024 Accepting new patients

Locations (25 of 64)

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

440 Winn Way
Decatur, GA 30030
Phone (404) 294-3700

450 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

445 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

307 Old Stone Rd
Villa Rica, GA 30180
Phone (770) 459-8799

8175 Reliable Pkwy
Chicago, IL 60686

7655 Solutions Ctr
Chicago, IL 60677

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCEGCD
  • Direct secure messaging: usabo3028950@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: suba645713@direct.peacehealth.org

Organizations & group practices 101

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 101

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": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1508106873",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 JEFFERSON ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142419",
            "telephone_number": "540-981-8025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178222522",
            "country_code": "US",
            "telephone_number": "570-271-6516",
            "fax_number": "570-271-5814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Walter Reed Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031128",
            "country_code": "US",
            "telephone_number": "336-832-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UBA",
        "first_name": "SABO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN758858",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022008514",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024194484",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.