Individual provider Active NPI

Loknath Shandilya, MD

  • Internal Medicine Physician
  • Glen Allen, VA
National Provider Identifier
1114960846
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101053136 Issued in VA
Practice address
4440 Springfield Rd Ste 101
Glen Allen, VA 23060-3410
Phone
(804) 451-3650
Fax
(804) 451-4460
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101053136 VA Primary

Addresses

Primary practice location

4440 Springfield Rd Ste 101
Glen Allen, VA 23060-3410

Mailing address

210 Rivers Bend Cir
Chester, VA 23836-2554
Phone (804) 451-3650

Other identifiers 2

IdentifierTypeStateIssuer
453261OtherVABC/BS PROVIDER #
005862884MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1114960846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 RIVERS BEND CIR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238362554",
            "telephone_number": "804-451-3650",
            "fax_number": "804-451-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 SPRINGFIELD RD STE 101",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603410",
            "telephone_number": "804-451-3650",
            "fax_number": "804-451-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDILYA",
        "first_name": "LOKNATH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101053136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "453261",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005862884",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.