Individual provider Active NPI

Lyubov B Shur-Allen, MD

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1164433538
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101231492 Issued in VA
Practice address
1464 Mount Pleasant Rd
Suite 16 #502
Chesapeake, VA 23322-4043
Phone
(757) 410-4580
Fax
(757) 410-4591
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101231492 VA Primary

Addresses

Primary practice location

1464 Mount Pleasant Rd
Suite 16 #502
Chesapeake, VA 23322-4043

Mailing address

1464 Mount Pleasant Rd
Suites 13 and 14
Chesapeake, VA 23322-4043
Phone (757) 410-4580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080425000530 VA Practitioner - Family Practice 2567540875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

1464 Mount Pleasant Rd
Suite 13And14
Chesapeake, VA 23322-4043
Phone (757) 410-4580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.57 of 100Reported as group
Quality
87.01
Promoting interoperability
100
Improvement activities
40
Cost
81.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101231492VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Oct 1, 2021 Accepting new patients
Chesapeake Regional Medical Group Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Chesapeake Radiologists LTD PastSince Apr 1, 2023 Accepting new patients

Locations

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

1464 Mount Pleasant Rd
Ste 13
Chesapeake, VA 23322
Phone (757) 410-4580

1464 Mount Pleasant Rd
#1314
Chesapeake, VA 23322

1464 Mount Pleasant Rd
Ste 1314
Chesapeake, VA 23322
Phone (757) 410-4580

Interoperability endpoints

  • Direct secure messaging: lyubov.shur-allen.1@5072.direct.athenahealth.com

Organizations & group practices 3

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 17

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

View all 17

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": "1291766400000",
    "number": "1164433538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 MOUNT PLEASANT RD",
            "address_2": "SUITES 13 AND 14",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224043",
            "telephone_number": "757-410-4580",
            "fax_number": "757-410-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 MOUNT PLEASANT RD",
            "address_2": "SUITE 16 #502",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224043",
            "telephone_number": "757-410-4580",
            "fax_number": "757-410-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUR-ALLEN",
        "first_name": "LYUBOV",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101231492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.