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LEWIS-GALE FAMILY CARE - CLEARBROOK
NPI 1316919210
Internal Medicine in Roanoke, VA

Active since February 03, 2006CLIA 49D2000723 · Waiver
5303B INDIAN GRAVE RD SW, ROANOKE, VA 24014(540) 725-3060(540) 772-4948 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Lewis-gale Family Care - Clearbrook NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEWIS-GALE FAMILY CARE - CLEARBROOK (NPI 1316919210) is a healthcare organization registered as an internal medicine in Roanoke, Virginia and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Otis Blackwood, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1316919210
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLEWIS-GALE PHYSICIANS, LLC
Location Address5303B INDIAN GRAVE RD SWRoanoke, VA 24014-6607
Mailing Address5303b Indian Grave Rd SwRoanoke, VA 24014-6607 · (540) 725-3060 · Fax (540) 772-4948
Phone(540) 725-3060
Fax(540) 772-4948
Organization SubpartNo
Authorized OfficialOtis BlackwoodPractice Administrator · (540) 772-3672
Enumeration DateFebruary 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316919210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101033197
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5303B INDIAN GRAVE RD SW, Roanoke, VA 24014
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Other Names 1

Doing Business AsLewis-gale Family Care - Clearbrook

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2000723

Lewis-Gale Physicians - Peters Creek · Roanoke, VA
Active · expires Feb 10, 2027
CLIA Number49D2000723
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorQuasir Raza
Laboratory Phone(540) 283-3660
Laboratory LocationLewis-Gale Physicians - Peters Creek6136 Peters Creek Road, Roanoke, VA 24019
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lewis-Gale Physicians, LLC's NPI number?

The NPI number for Lewis-Gale Physicians, LLC is 1316919210. It was assigned to this organization in the NPPES registry on February 3, 2006. The provider is doing business as Lewis-Gale Family Care - Clearbrook.

Where is Lewis-Gale Physicians, LLC located?

Lewis-Gale Physicians, LLC is located at 5303B Indian Grave Rd SW, Roanoke, VA 24014. The listed phone number is (540) 725-3060.

What is Lewis-Gale Physicians, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lewis-Gale Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2000723) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lewis-Gale Physicians, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.