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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEWIS GALE PHYSICIANS LLC
NPI 1902977705
Internal Medicine in Salem, VA

Active since November 13, 2006CLIA Certified · 2 labs
1802 BRAEBURN DR, SALEM, VA 24153(540) 772-3671(540) 725-5067 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 25, 2026, Nov 20, 2025, Nov 13, 2025 and 1 more (4 updates tracked since 2023).

About Lewis Gale Physicians Llc NPPES

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

LEWIS GALE PHYSICIANS LLC (NPI 1902977705) is a healthcare organization registered as an internal medicine in Salem, Virginia and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Suzanne Bergamo, Vp, as its authorized official.

NPPES Registry Identity

NPI1902977705
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLEWIS GALE PHYSICIANS LLC
Location Address1802 BRAEBURN DRSalem, VA 24153-7357
Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 373-7406
Phone(540) 772-3671
Fax(540) 725-5067
Organization SubpartNo
Authorized OfficialSuzanne BergamoVp · (804) 267-5950
Enumeration DateNovember 13, 2006
Last NPPES UpdateSeptember 25, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1902977705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1802 BRAEBURN DR, Salem, VA 24153
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13700 S Main StBlacksburg, VA 24060-7017 · Phone (540) 443-0500
Location 22400 Lee Hwy NPulaski, VA 24301-2326 · Phone (540) 444-4430

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lewis Gale Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

188

Medicare enrollment records show 188 clinicians reassign Medicare billing to Lewis Gale Physicians LLC, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 85 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Nurse Practitioner34
Family Practice18
Internal Medicine18
Urology16
Obstetrics/Gynecology11
Psychiatry11
General Surgery10
Certified Nurse Midwife (CNM)7
24 other specialties63

Nearest to this location (20)

See all 188
Elizabeth Barwick, DO
Obstetrics/Gynecology
NPI 1518157668
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3520
✔ PECOS✔ Accepts MedicareSame address
Muddasar Chaudry, M.D.
Infectious Disease
NPI 1396795936
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3407
✔ PECOS✔ Accepts MedicareSame address
Amanda Cox, M.D.
General Surgery
NPI 1700129111
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3671
✔ PECOS✔ Accepts MedicareSame address
Deborah Davis, CPNP
Nurse Practitioner
NPI 1053715318
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3580
✔ PECOSSame address
Dominique Dempah, M.D.
General Surgery
NPI 1073763751
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3620
✔ PECOS✔ Accepts MedicareSame address
Lauren Good, D.O.
Pediatric Medicine
NPI 1538427547
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3580
✔ PECOSSame address
Roy Habib, MD
Internal Medicine
NPI 1588643100
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3490
✔ PECOS✔ Accepts MedicareSame address
Robyn Hakanson, M.D.
Orthopedic Surgery
NPI 1124012117
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3530
✔ PECOS✔ Accepts MedicareSame address
Micah Jones, DO
Hand Surgery
NPI 1508006388
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3530
✔ PECOS✔ Accepts MedicareSame address
Vandana Karri, MD
Hematology/Oncology
NPI 1932188562
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3411
✔ PECOS✔ Accepts MedicareSame address
Patrick Kennedy
Orthopedic Surgery
NPI 1689069577
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3530
✔ PECOS✔ Accepts MedicareSame address
Adelaide Kingery, MSN, RN, CPNP-PC
Nurse Practitioner
NPI 1437017969
1802 BRAEBURN DR STE CM20
Salem, VA 24153
(540) 772-3580
✔ PECOSSame address
Andrew Maiolo, MD
Cardiovascular Disease (Cardiology)
NPI 1013996669
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3430
✔ PECOS✔ Accepts MedicareSame address
Owori Mang'eni
Neurology
NPI 1992232144
1802 BRAEBURN DR
Salem, VA 24153
(720) 891-8317
✔ PECOS✔ Accepts MedicareSame address
Jonh Pineda-Bonilla, MD
Gastroenterology
NPI 1760640429
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-5970
✔ PECOS✔ Accepts MedicareSame address
Eva Quiroz, M.D.
Infectious Disease
NPI 1861426264
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3540
✔ PECOS✔ Accepts MedicareSame address
Kamran Rasul, MD
Endocrinology
NPI 1356306591
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3490
✔ PECOS✔ Accepts MedicareSame address
Christopher Starks, M.D.
Urology
NPI 1588827968
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3702
✔ PECOS✔ Accepts MedicareSame address
Brian Van Der Linden, MD
Gastroenterology
NPI 1184602864
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-5970
✔ PECOS✔ Accepts MedicareSame address
Nelson Greene, MD
Pulmonary Disease
NPI 1801875455
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3540
✔ PECOS✔ Accepts MedicareSame address
See all 188 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 49D2134302

Lewis Gale Physicians Blacksburg Gme Clinic · Blacksburg, VA
Active · expires Jul 30, 2027
CLIA Number49D2134302
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorAbraham B. Hardee III
Laboratory Phone(540) 443-3700
Laboratory LocationLewis Gale Physicians Blacksburg Gme Clinic3700 South Main Street - Suite A, Blacksburg, VA 24060
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0231665

Lewis Gale Physicians - Blacksburg Obgyn · Blacksburg, VA
Active · expires Oct 29, 2028
CLIA Number49D0231665
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2026
Certificate Expiration DateOctober 29, 2028
Laboratory DirectorLaurie A. Buchwald
Laboratory Phone(540) 443-0500
Laboratory LocationLewis Gale Physicians - Blacksburg Obgyn826 Davis Street, Blacksburg, VA 24060
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 1902977705. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Lewis Gale Physicians LLC located?

Lewis Gale Physicians LLC is located at 1802 Braeburn Dr, Salem, VA 24153. The listed phone number is (540) 772-3671.

What is Lewis Gale Physicians LLC's specialty?

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

Is Lewis Gale Physicians LLC enrolled in Medicare?

Yes. Lewis Gale Physicians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lewis Gale Physicians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 188 clinicians in 32 Medicare specialties reassign their Medicare billing to Lewis Gale Physicians LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (34), Family Practice (18) and Internal Medicine (18). Of these, 29 practice at this address and 85 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lewis Gale Physicians LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lewis Gale Physicians LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Lewis Gale Physicians LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lewis Gale Physicians LLC was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.