Shahwali Arezo, MD
Individual provider Active NPI Gastroenterology Physician · Williamsburg, VA
NPI 1215975370 · NPPES record last updated Sep 23, 2013
Key facts
- NPI
- 1215975370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 0101056128 (VA)
- Practice address
- 457 McLaws Cir
Suite 1
Williamsburg, VA 23185-5645 - Phone
- (757) 221-0750
- Fax
- (757) 229-5168
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Eastern Virginia Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverside Physician Services Inc
Practice addresses (Care Compare)
457 McLaws Cir
Suite 1
Williamsburg, VA 23185-5645
Phone (757) 221-0750
Hospital & facility affiliations
- Riverside Doctors' Hospital of Williamsburg
- Riverside Regional Medical Center
- Riverside Walter Reed Hospital
- Sentara Williamsburg Regional Medical Center
- Riverside Smithfield Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.91 of 100
- Quality
- 92.86
- Promoting interoperability
- 94.93
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 268 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 252 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050113000204 | VA | Practitioner - Gastroenterology | 6204884711 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101056128 | VA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services, Inc. | Current |
Accepting new patients | |
| Riverside Physician Services Inc | Gastroenterology | Current |
Accepting new patients |
| Riverside Physician Services Inc | Gastroenterology | Current | Accepting new patients |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
120 Kings Way
Ste 3500
Williamsburg, VA 23185
Phone (757) 220-6823
457 McLaws Cir
Ste 1
Williamsburg, VA 23185
Phone (757) 221-0750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101056128 | VA | Yes |
Addresses
Primary practice location
457 McLaws Cir
Suite 1
Williamsburg, VA 23185-5645
Mailing address
856 J Clyde Morris Blvd
Ste a
Newport News, VA 23601-1318
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215975370 | Medicaid | VA |
Other providers in Williamsburg, VA
- Anh Campbell
- Annalucia Bays, LLC
- Noor Anouti
- Apex Physical Therapy LLC
- Apria Healthcare LLC
- Susan Armbruster
- Jennifer Leigh Armijo
- Chelsea Armstrong
- Frank Willett Armstrong IV
- Jayleen Ivett Arnaout
All providers in Williamsburg, VA · Gastroenterology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.