Samira Elyasi Alishahdani, MD
Individual provider Active NPI Family Medicine Physician · Danville, VA
NPI 1245028570 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1245028570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0116040543 (VA)
- Practice address
- 109 Bridge St
Suite 201
Danville, VA 24541-1246 - Phone
- (434) 799-4488
- Fax
- (434) 773-6977
- NPI assigned
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20260206002882 | VA | Order and Referring Only - Family Practice |
0941789234 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116040543 | VA | MD | Family Medicine Physician |
Interoperability endpoints
- samira.alishahdani.1@19847.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116040543 | VA | Yes |
Addresses
Primary practice location
109 Bridge St
Suite 201
Danville, VA 24541-1246
Mailing address
109 Bridge St
Suite 201
Danville, VA 24541-1246
Phone (434) 799-4488
Other providers in Danville, VA
- Gregory J Alba
- Katrine Albright
- Abraham Taddese Alemneh
- Natalie Alexander
- Fahid Alghanim
- All Around Care
- All Care Home Health
- Alliance Human Service, Inc.
- Terri Patrice Alston
- Alternative Community Experiences, Inc.
All providers in Danville, VA · Family Medicine 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 May 20, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.