Roger Lee Clevinger Jr., MD
Individual provider Active NPI Internal Medicine Physician · Lexington, VA
NPI 1891760096 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1891760096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101048662 (VA)
- Practice address
- 25 Northridge LN
Lexington, VA 24450-3399 - Phone
- (540) 464-8700
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Virginia Commonwealth University, School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rockbridge Area Free Clinic
Practice addresses (Care Compare)
25 Northridge LN
Lexington, VA 24450-3399
Phone (540) 464-8700
Hospital & facility affiliations
- Carilion Stonewall Jackson Hospital
- Augusta Health
- Kendal at Lexington
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040302000143 | VA | Practitioner - Hospitalist |
7618864968 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101048662 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Internal Medicine | Current |
Accepting new patients |
| Rockbridge Area Free Clinic | Current |
Accepting new patients | |
| Rockbridge Area Free Clinic | Current |
Accepting new patients |
Locations
170 Kendal Dr
#A
Lexington, VA 24450
Phone (540) 464-8700
25 Northridge Ln
Lexington, VA 24450
Phone (540) 464-8700
170 Kendal Dr
Ste A
Lexington, VA 24450
Phone (540) 464-8700
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
100 Sentara Cir
Rm 2C
Williamsburg, VA 23188
Phone (757) 984-7217
301 Monticello Ave
Ste 100
Williamsburg, VA 23185
Phone (757) 259-6500
156 Strawberry Plains Rd
Ste C
Williamsburg, VA 23188
Phone (757) 259-6770
156 Strawberry Plains Rd
#C
Williamsburg, VA 23188
Phone (757) 259-6770
461 McLaws Cir
Ste 1
Williamsburg, VA 23185
Phone (757) 221-0249
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 0101048662 | VA | |
| Internal Medicine Physician | 207R00000X | 0101048662 | VA | Yes |
Addresses
Primary practice location
25 Northridge LN
Lexington, VA 24450-3399
Mailing address
25 Northridge LN
Lexington, VA 24450-3399
Phone (540) 464-8700
Other practice location 1
100 Sentara Cir Rm 2C
Williamsburg, VA 23188-5713
Phone (757) 984-7217
Other practice location 2
170 Suite A
Kendal Drive
Lexington, VA 22450
Phone (540) 464-8700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010161975 | Medicaid | VA |
Other providers in Lexington, VA
- City of Lexington
- Michael D Clague
- Carl Michael Clarito
- Jamie Chapman Clark
- Jessica I Clark
- Dana Coddington
- Commonwealth of Virginia State Board of Health
- Hannah Conger
- Jill Conley
- Jean Cook
All providers in Lexington, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.