Individual provider Active NPI

Sarah Shahabuddin, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Colonial Heights, VA
National Provider Identifier
1205827078
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
0101231890 Issued in VA
Practice address
130 Temple Lake Dr
Suite 5
Colonial Heights, VA 23834-4902
Phone
(804) 526-3450
Fax
(804) 520-1809
NPI assigned
Nov 2, 2005
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101231890 VA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0101231890 VA Primary

Addresses

Primary practice location

130 Temple Lake Dr
Suite 5
Colonial Heights, VA 23834-4902

Mailing address

PO Box 8266
Richmond, VA 23226-0266
Phone (804) 285-0100

Other identifiers 13

IdentifierTypeStateIssuer
010184703MedicaidVA
1014285OtherVAAETNA
154100OtherVAANTHEM-COLONIAL HEIGHTS
184465OtherVASOUTHERN HEALTH
010184746MedicaidVA
38371OtherVACARENET
010184622MedicaidVA
154101OtherVAANTHEM-MECHANICSVILLE
28581OtherVACIGNA
4800891OtherVAUNITED HEALTHCARE-CH
154099OtherVAANTHEM-RICHMOND
4800408OtherVAUNITED HEALTHCARE-RICHMON
4800892OtherVAUNITED HLTHCARE-MV

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Gastroenterology PC Past Accepting new patients
Health Consultants of Virginia, Inc. Pulmonary Disease PastSince Aug 1, 1999 Accepting new patients
Pulmonary & Critical Care Associates of the Tri-Cities PC Pulmonary Disease PastSince Nov 16, 1998 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1205827078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8266",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232260266",
            "telephone_number": "804-285-0100",
            "fax_number": "804-285-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TEMPLE LAKE DR",
            "address_2": "SUITE 5",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238344902",
            "telephone_number": "804-526-3450",
            "fax_number": "804-520-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHABUDDIN",
        "first_name": "SARAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101231890",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101231890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010184703",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1014285",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-COLONIAL HEIGHTS",
            "identifier": "154100",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "184465",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010184746",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARENET",
            "identifier": "38371",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010184622",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-MECHANICSVILLE",
            "identifier": "154101",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "28581",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE-CH",
            "identifier": "4800891",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-RICHMOND",
            "identifier": "154099",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE-RICHMON",
            "identifier": "4800408",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HLTHCARE-MV",
            "identifier": "4800892",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.