GLEN EHICHEOYA ORIAIFO (MD) – Psychiatry Physician, NPI 1104271618

GLEN EHICHEOYA ORIAIFO (MD) is a healthcare provider. based in Roanoke, Virginia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 01083103A (IN). The NPI Number for GLEN EHICHEOYA ORIAIFO (MD) is 1104271618

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
GLEN EHICHEOYA ORIAIFO (MD)
NPI
1104271618
Phone
(540) 981-7000
Address
1906 Belleview Ave
Enumeration Date
3 May 2016
Last Update Date
25 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8128853292
Graduation Year
2015 (11 years ago)
PAC ID
4385938604
Group Practice PAC ID
9436061918
Professional Enrollment ID
I20201009000770
Address ID
IN475911038VI520XXSTXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,034 PSYCHIATRY in VA

Provider Addresses for GLEN EHICHEOYA ORIAIFO (MD)

  • 1906 Belleview Ave

    Carilion Clinic Roanoke Memorial Hospital

    Roanoke, VA 24014

    Phone: (540) 981-7000

    Type: Location

  • 707 N Michigan St Ste 400

    South Bend, IN 46601

    Phone: (574) 647-8470

    Fax: (574) 647-8475

    Type: Location

  • 1160, East Saint Clair Street, Vincennes, Knox County, Indiana, 47591, United States

    VINCENNES, IN 475914853

    Phone: (812) 885-3106

    Fax: (812) 885-8499

    Type: Mailing

  • 515, Bayou Street, Vincennes, Knox County, Indiana, 47591, United States

    VINCENNES, IN 475911034

    Phone: (812) 886-6800

    Fax: (812) 886-6809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $98.

Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.

Last reported payment date: 2024-04-05 • Largest payer in this snapshot: Indivior Inc. ($45).

Total Amount

$98

General + Research + Ownership

Payments

5

Total payment records

General Amount

$98

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201009000770IPsychiatryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes23538$0
99214Established patient office or other outpatient visit, 30-39 minutes13276$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6041$0
99238Hospital discharge day management, 30 minutes or less4125$0
96372Injection of drug or substance under skin or into muscle4113$0
View full utilization report →

Insurance plans in this area (ZIP 24014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061918View full group profile

Reviews

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Frequently asked questions

Where can patients find GLEN EHICHEOYA ORIAIFO (MD)'s NPI?
You can confirm GLEN EHICHEOYA ORIAIFO (MD) with NPI 1104271618; it appears in the national provider directory.
Does this profile mean GLEN EHICHEOYA ORIAIFO (MD) is currently active?
Yes — GLEN EHICHEOYA ORIAIFO (MD) appears active in the national provider directory.
Can you summarize GLEN EHICHEOYA ORIAIFO (MD)'s specialty in plain language?
Clinically, the directory lists GLEN EHICHEOYA ORIAIFO (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for GLEN EHICHEOYA ORIAIFO (MD)?
The page summarizes Roanoke, Virginia for GLEN EHICHEOYA ORIAIFO (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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