Active NPI
Ravi Vijay Shamaiengar, MD
- Diagnostic Radiology Physician
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D96224
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7223170 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D96224 | MD | MD | Diagnostic Radiology Physician |
| 0101056474 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Medical Imaging PA | Diagnostic Radiology | Current | Accepting new patients |
| MCV Associated Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Johns Hopkins University | Diagnostic Radiology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Medical Center Radiologists Inc | Diagnostic Radiology | Current | Accepting new patients |
| Johns Hopkins University | Current | 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.
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- NPI 1922008549
-
- Diagnostic Radiology Physician
- Norfolk, VA
- NPI 1720079254
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Clinical Medical Laboratory
- Tappahannock, VA
- NPI 1962219881
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, MD
- NPI 1144291899
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.