Individual provider Active NPI

Scott Alan Siegel, D.O.

  • Family Medicine Physician
  • Grundy, VA
National Provider Identifier
1629020326
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102207660 Issued in VA
Practice address
1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone
(276) 935-1000
Fax
(276) 935-1302
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102207660 VA Primary
Family Medicine Physician 207Q00000X 04666 KY
Family Medicine Physician 207Q00000X 1939 WV

Addresses

Primary practice location

1535 Slate Creek Rd
Grundy, VA 24614-6974

Mailing address

3165 Blacklog Rd
Inez, KY 41224-9113
Phone (606) 534-3435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200420001593 KY Practitioner - Family Practice 6305857442 Reassigns benefits to 1 organization
I20230109002501 VA Practitioner - Family Practice 6305857442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone (276) 935-1000

3165 Blacklog Rd
Inez, KY 41224-9113
Phone (606) 534-3435

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04666KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Family Practice Inc. Family Medicine Current Accepting new patients
Ohio Valley Physicians Inc Family Medicine CurrentSince Jan 12, 2023 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Jan 12, 2023 Accepting new patients
Buchanan General Hospital, Inc Past Accepting new patients

Locations

108 W Madison St
Ste A
Louisa, KY 41230
Phone (606) 638-0341

108 W Madison St
Ste B
Louisa, KY 41230
Phone (606) 826-0341

1341 Clark St
Ste 1
Cambridge, OH 43725

1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125

313 Hudgins St
Ste 200
Logan, WV 25601
Phone (304) 752-9450

104 Main St
Logan, WV 25601
Phone (304) 688-7027

Interoperability endpoints

  • Direct secure messaging: sasiegel@sasd-ky.direct.office.nextgen.com

Organizations & group practices 4

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 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1629020326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 BLACKLOG RD",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412249113",
            "telephone_number": "606-534-3435",
            "fax_number": "606-534-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 SLATE CREEK RD",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246146974",
            "telephone_number": "276-935-1000",
            "fax_number": "276-935-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207660",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04666",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grundy, VA

Sources for this page

Verify at the official NPI Registry.