Active NPI
Mitra Sahebazamani, MD
- Critical Care Medicine (Internal Medicine) Physician
- South Hill, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 01087805A
- Practice address
- 1755 N Mecklenburg Ave
South Hill, VA 23970-4080 - Phone
- (434) 447-3151
- NPI assigned
- Jul 16, 2009
- Last updated
- Mar 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780814392 | Medicaid | NC | |
| 1780814392 | Medicaid | VA | |
| 19YH6 | Other | NC | BCBS OF NC |
| NN4574B | Other | NC | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC, IN, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 305532 | VA | MD | Specialist |
| 01087805A | IN | MD | Critical Care Medicine (Internal Medicine) Physician |
| 01087805B | IN | MD | Critical Care Medicine (Internal Medicine) Physician |
| C194975 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Clinch Professional Physician Services LLC | Pulmonary Disease | Current | Accepting new patients |
| Sound Physicians Intensivists of Virginia LLC | Critical Care Medicine | Current | Accepting new patients |
| Danville Physician Practices LLC | Internal Medicine | Current | Accepting new patients |
| Clinch Professional Physician Services LLC | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| MCV Associated Physicians | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | 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
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
- 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.
-
dba SOVAH Physician Practices
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
Internal Medicine
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
Internal Medicine
-
dba SURGICAL ASSOCIATES of SCOTLAND
- Vascular Surgery Physician
- Laurinburg, NC
- NPI 1477791507
-
dba Vituity
- Critical Care Medicine (Internal Medicine) Physician
- Escondido, CA
- NPI 1407234057
-
- Surgery Physician
- Richlands, VA
- NPI 1609994284
Pulmonary Disease
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
dba Riverside Gastroenterology Specialists
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Critical Care Medicine (Internal Medicine) Physician
- Richmond, VA
- NPI 1619520806
-
dba FryeCare Lincolnton Medical Group
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
-
dba SOVAH Health Martinsville
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
dba SOVAH Health Danville
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
-
dba Sentara Williamsburg Regional Medical Center
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
-
- General Acute Care Hospital
- Laurinburg, NC
- NPI 1457345597
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.