Individual provider Active NPI

Mitra Sahebazamani, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • South Hill, VA
National Provider Identifier
1780814392
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
01087805A Issued in IN
Practice address
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone
(434) 447-3151
NPI assigned
Jul 16, 2009
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 305532 VA
Internal Medicine Physician 207R00000X C194975 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01087805B IN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101246269 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01087805A IN Primary
Pulmonary Disease Physician 207RP1001X 2018-02078 NC
Pulmonary Disease Physician 207RP1001X C194975 CA
Pulmonary Disease Physician 207RP1001X 0101246269 VA
Hospitalist Physician 208M00000X 0101246269 VA
Critical Care Pharmacist 1835C0205X C194975 CA

Addresses

Primary practice location

1755 N Mecklenburg Ave
South Hill, VA 23970-4080

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

600 Gresham Dr Ste 8630B
Norfolk, VA 23507-1904
Phone (757) 388-6115

Other practice location 2

521 Moye Blvd
Greenville, NC 27834-2849
Phone (252) 744-1600

Other identifiers 4

IdentifierTypeStateIssuer
1780814392MedicaidNC
1780814392MedicaidVA
19YH6OtherNCBCBS OF NC
NN4574BOtherNCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, IN, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20091113000182 VA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3476691353 Reassigns benefits to 7 organizations
I20181119000649 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3476691353 Reassigns benefits to 3 organizations
I20220907001291 IN Practitioner - Critical Care (Intensivists) 3476691353 Reassigns benefits to 1 organization
I20260430003259 CA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3476691353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Intensivists PCGroup PAC ID 9032423421, 112 clinicians
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

1401 Garces Hwy
Delano, CA 93215-3660
Phone (661) 725-4800

159 Executive Dr
Suite F
Danville, VA 24541-4160
Phone (434) 792-4378

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

2615 Chester Ave
Bakersfield, CA 93301-2014
Phone (661) 395-3000

3001 Sillect Ave
Bakersfield, CA 93308-6337
Phone (661) 316-6000

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-6115

7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305532VAMDSpecialist
01087805AINMDCritical Care Medicine (Internal Medicine) Physician
01087805BINMDCritical Care Medicine (Internal Medicine) Physician
C194975CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince May 27, 2017 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Aug 1, 2025 Accepting new patients
Lutheran Medical Group LLC Internal Medicine CurrentSince Sep 6, 2022 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Danville Physician Practices LLC CurrentSince May 23, 2025 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Jun 6, 2022 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jun 13, 2022 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 15, 2018 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Apr 24, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Apr 24, 2025 Accepting new patients
DLP Frye Medical Group LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Clinch Professional Physician Services LLC Pulmonary Disease CurrentSince Sep 23, 2024 Accepting new patients
Sound Physicians Intensivists of Virginia LLC Critical Care Medicine CurrentSince Jan 4, 2023 Accepting new patients
Danville Physician Practices LLC Internal Medicine CurrentSince May 23, 2025 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Sep 23, 2024 Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince May 27, 2017 Accepting new patients
Lutheran Medical Group LLC CurrentSince Sep 6, 2022 Accepting new patients
MCV Associated Physicians CurrentSince Aug 15, 2025 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jun 13, 2022 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
East Carolina University Current Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients

Locations (25 of 28)

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

415 N Center St
Ste 102
Hickory, NC 28601
Phone (704) 327-9178

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

4810 S Croatan Hwy
Ste 250
Nags Head, NC 27959
Phone (252) 261-4885

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

159 Executive Dr
Ste F
Danville, VA 24541
Phone (434) 792-4378

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

12200 Warwick Blvd
Ste 290
Newport News, VA 23601
Phone (757) 534-5454

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

600 Gresham Dr
Ste 8630B
Norfolk, VA 23507
Phone (757) 338-6115

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

6719 Governor Gc Peery Hwy
Ste 1000
Richlands, VA 24641
Phone (276) 596-6715

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

125 Buena Vista Cir
South Hill, VA 23970
Phone (434) 774-2400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: msahebazamani2963638@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

Hospital & facility affiliations 6

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1780814392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N MECKLENBURG AVE",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239704080",
            "telephone_number": "434-447-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Gresham Dr Ste 8630B",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-6115",
            "fax_number": "757-275-9998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 Moye Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342849",
            "country_code": "US",
            "telephone_number": "252-744-1600",
            "fax_number": "252-744-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHEBAZAMANI",
        "first_name": "MITRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "305532",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C194975",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01087805B",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101246269",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01087805A",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2018-02078",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C194975",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101246269",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101246269",
            "primary": false
        },
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "CA",
            "license": "C194975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780814392",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780814392",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "19YH6",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NN4574B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

Verify at the official NPI Registry.