LEWIS-GALE PHYSICIANS, LLC
NPI 1063484921
Family Medicine in Roanoke, VA

NPI Status: Active since February 06, 2006

Contact Information

4910 VALLEY VIEW BLVD NW
ROANOKE, VA
ZIP 24012
Phone: (540) 265-1607
Fax: (540) 366-7353

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  • Organization
  • Family Medicine
  • CLIA Number: 49D0669270
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-04-2028

About LEWIS-GALE PHYSICIANS, LLC

This page provides the complete NPI Profile along with additional information for Lewis-gale Physicians, Llc, a primary care provider established in Roanoke, Virginia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1063484921 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 0101235727 (VA). The provider is registered as an organization and their NPI record was last updated one year ago. Lewis-gale Physicians, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Otis Blackwood (Practice Administrator)

NPI
1063484921
Provider Legal Name
LEWIS-GALE PHYSICIANS, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4910 VALLEY VIEW BLVD NW ROANOKE, VA 24012
Location Phone
(540) 265-1607
Location Fax
(540) 366-7353
Mailing Address
4910 VALLEY VIEW BLVD NW ROANOKE, VA 24012
Mailing Phone
(540) 265-1607
Mailing Fax
(540) 366-7353
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2006
Last Update Date
09-11-2025
Code Navigator

A primary care provider (PCP) like Lewis-gale Physicians, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
0101235727
License State
VA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

0101040969 (VA)
2207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

0101042126 (VA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

OTIS BLACKWOOD

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(540) 772-3671

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D0669270
Facility Type
Physician Office
Certificate Effective Date
February 05, 2026
Certificate Expiration Date
February 04, 2028
Laboratory Director
JOSHUA SLAKMAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Lewis-gale Physicians, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063484921, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 8 + 8 + 8 + 9 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1063484921.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Dermatology
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Pharmacist
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW, SUITE 310
ROANOKE, VA 24012
Pharmacy (Community/Retail Pharmacy)
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Clinical Medical Laboratory
4910 VALLEY VIEW BLVD NW, SUITE L
ROANOKE, VA 24012
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Physician Assistant
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Nurse Practitioner
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Student in an Organized Health Care Education/Training Program
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063484921, enumerated as an "organization" on February 06, 2006.

The provider is located at 4910 VALLEY VIEW BLVD NW ROANOKE, VA 24012 and the phone number is (540) 265-1607.

Family Medicine with taxonomy code 207Q00000X.