Individual provider Active NPI

Ravi Vijay Shamaiengar, MD

  • Diagnostic Radiology Physician
  • Columbia, MD
National Provider Identifier
1164433405
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D96224 Issued in MD
Practice address
5755 Cedar LN
Columbia, MD 21044-2912
Phone
(410) 740-7544
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101056474 VA
Diagnostic Radiology Physician 2085R0202X D96224 MD Primary

Addresses

Primary practice location

5755 Cedar LN
Columbia, MD 21044-2912

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

100 Sentara Cir
Sentara Williamsburg Regional Medical Center
Williamsburg, VA 23188-5713
Phone (757) 984-7890

Other practice location 2

300 Mt Clement Park Ste A2
Tappahannock, VA 22560-5098
Phone (804) 443-3311

Other practice location 3

1213 E Clay St
Richmond, VA 23298-5071
Phone (804) 828-6600

Other practice location 4

618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 828-6600

Other practice location 5

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 628-7245

Other practice location 6

11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 360-4669

Other practice location 7

8700 Stony Point Pkwy
Richmond, VA 23235-1962
Phone (804) 560-8906

Other practice location 8

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-6600

Other identifiers 1

IdentifierTypeStateIssuer
7223170MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111221000196 VA Practitioner - Diagnostic Radiology 4688758030 Reassigns benefits to 3 organizations
I20230720002590 MD Practitioner - Diagnostic Radiology 4688758030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Medical Imaging PAGroup PAC ID 7719885342, 11 clinicians

Practice addresses (Care Compare)

276 Mill Stream Way
Williamsburg, VA 23185-3187
Phone (410) 740-7815

Hospital & facility affiliations

  • Johns Hopkins Howard County Medical Center Hospital, Columbia, MD, CCN 210048

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D96224MDMDDiagnostic Radiology Physician
0101056474VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Medical Imaging PA Diagnostic Radiology CurrentSince Mar 15, 2023 Accepting new patients
MCV Associated Physicians Diagnostic Radiology CurrentSince Jul 7, 2024 Accepting new patients
Johns Hopkins University Diagnostic Radiology CurrentSince Jun 6, 2023 Accepting new patients
Johns Hopkins University Current Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Johns Hopkins University CurrentSince Jun 6, 2023 Accepting new patients
Vcu Health Tappahannock Hospital Past Accepting new patients

Locations

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

6275 E Virginia Beach Blvd
Ste 300
Norfolk, VA 23502
Phone (757) 461-1688

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

8700 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 323-2001

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

1213 E Clay St
Richmond, VA 23298
Phone (804) 827-1207

618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311

300 Mt Clement Park
Ste A2
Tappahannock, VA 22560
Phone (804) 443-3311

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1164433405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 CEDAR LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442912",
            "telephone_number": "410-740-7544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Sentara Cir",
            "address_2": "Sentara Williamsburg Regional Medical Center",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885713",
            "country_code": "US",
            "telephone_number": "757-984-7890",
            "fax_number": "757-984-7891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Mt Clement Park Ste A2",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605098",
            "country_code": "US",
            "telephone_number": "804-443-3311",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 E Clay St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985071",
            "country_code": "US",
            "telephone_number": "804-828-6600",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605000",
            "country_code": "US",
            "telephone_number": "804-828-6600",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Leigh St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985004",
            "country_code": "US",
            "telephone_number": "804-628-7245",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11958 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331007",
            "country_code": "US",
            "telephone_number": "804-360-4669",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Stony Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351962",
            "country_code": "US",
            "telephone_number": "804-560-8906",
            "fax_number": "804-237-6618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-6600",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMAIENGAR",
        "first_name": "RAVI",
        "middle_name": "VIJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101056474",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D96224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7223170",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.