Individual provider Active NPI

Zainab Shamma, MD

  • Pulmonary Disease Physician
  • Lewisburg, WV
National Provider Identifier
1164455101
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
15358 Issued in WV
Practice address
176 Dawkins Dr
Lewisburg, WV 24901-9302
Phone
(304) 647-1148
Fax
(304) 793-2208
NPI assigned
Jul 9, 2006
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 15358 WV Primary

Addresses

Primary practice location

176 Dawkins Dr
Lewisburg, WV 24901-9302

Mailing address

176 Dawkins Dr
Lewisburg, WV 24901-9302
Phone (304) 793-3530

Other identifiers 8

IdentifierTypeStateIssuer
0071049000MedicaidWV
021OtherWVMTST BCBS
282383OtherWVANTHEM BCBS
4502260OtherWVAETNA
58176OtherWVSOUTHERN HEALTH
110083097OtherWVRAILROAD MEDICARE
249373OtherWVMAMSI
124146001OtherWVCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zainab.shamma.othman.1@2276.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA, AZ, VA, CA, NC6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20100326000238 WV Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3678609948 Reassigns benefits to 2 organizations
I20170110001437 PA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3678609948 Reassigns benefits to 3 organizations
I20170410001036 AZ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3678609948 Reassigns benefits to 1 organization
I20170504001481 VA Practitioner - Pulmonary Disease 3678609948 Reassigns benefits to 3 organizations
I20190218000891 CA Practitioner - Pulmonary Disease 3678609948 Reassigns benefits to 1 organization
I20220328001584 NC Practitioner - Pulmonary Disease 3678609948

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1973
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

Practice addresses (Care Compare)

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4411

1322 Maplewood Ave
Ronceverte, WV 24970-8016

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000

1521 Maplewood Ave
Ronceverte, WV 24970-8026
Phone (304) 647-5642

176 Dawkins Dr
Lewisburg, WV 24901-9302
Phone (304) 793-2574

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15358WVMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn Inc. CurrentSince Jul 6, 2023 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Aug 22, 2017 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Apr 16, 2018 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jul 6, 2023 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Camc Greenbrier Valley Medical Center Inc Pulmonary Disease CurrentSince Jan 1, 2023 Accepting new patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Jan 1, 2023 Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Nov 29, 2023 Accepting new patients
Intensive Care Consortium Inc CurrentSince Oct 28, 2017 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 22, 2017 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Apr 16, 2018 Accepting new patients
Sonora Community Hospital CurrentSince Jul 1, 2022 Accepting new patients
Sonora Community Hospital CurrentSince Jul 1, 2022 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Oct 29, 2023 Accepting new patients
Critical Care Physicians of Pennsylvania PC Pulmonary Disease CurrentSince Nov 1, 2016 Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

900 Greenley Rd
Ste 923
Sonora, CA 95370
Phone (209) 536-5090

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

709 Delaware Ave
Fountain Hill, PA 18015
Phone (610) 954-3890

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

501 S 4th St
Philadelphia, PA 19147
Phone (215) 925-7299

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

1 Arh Ln
Ste 112
Low Moor, VA 24457
Phone (304) 647-5114

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

176 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 645-6083

231 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 645-0870

3738 Davis Stuart Rd
Lewisburg, WV 24901
Phone (304) 645-3207

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

1322 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 647-1139

1521 Maplewood Ave
Ronceverte, WV 24970

Interoperability endpoints

  • Direct secure messaging: zainab.shamma.othman.1@2276.direct.athenahealth.com
  • Direct secure messaging: zainab.shammaothman@hca6.eclinicaldirectplus.com
  • Direct secure messaging: zshamma182267@cityofhope.direct-ci.com

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 3

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1164455101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 DAWKINS DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019302",
            "telephone_number": "304-793-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 DAWKINS DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019302",
            "telephone_number": "304-647-1148",
            "fax_number": "304-793-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMMA",
        "first_name": "ZAINAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "15358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071049000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTST BCBS",
            "identifier": "021",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "282383",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4502260",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "58176",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110083097",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "249373",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "124146001",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zainab.shamma.othman.1@2276.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "176 Dawkins Dr",
            "city": "Lewisburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "249019302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

Verify at the official NPI Registry.