Individual provider Active NPI

Kevin R Shanabrook, MD

  • Emergency Medicine Physician
  • Winchester, VA
National Provider Identifier
1255390118
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101045907 Issued in VA
Practice address
1840 Amherst St
Winchester, VA 22601-2808
Phone
(540) 536-8000
Fax
(540) 536-7681
NPI assigned
Mar 20, 2006
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101045907 VA Primary

Addresses

Primary practice location

1840 Amherst St
Winchester, VA 22601-2808

Mailing address

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other practice location 1

1 Healthy Way
Berkeley Springs, WV 25411-7463
Phone (304) 258-1234

Other practice location 2

363 Sunrise Blvd
Romney, WV 26757-4607
Phone (304) 822-4561

Other identifiers 2

IdentifierTypeStateIssuer
0046813000MedicaidWV
6050042MedicaidVA

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address kshanabrook124208@soc.inova.org
Direct Messaging Address kshanabrook124208@soc.inova.org
Direct Messaging Address kshanabrook124208@soc.inova.org
Direct Messaging Address kshanabrook124208@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100513000029 VA Practitioner - Emergency Medicine 8729116744 Reassigns benefits to 7 organizations
I20131202001064 WV Practitioner - Emergency Medicine 8729116744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Pittsburgh School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians

Practice addresses (Care Compare)

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center Inc. CurrentSince Apr 10, 2019 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Aug 1, 2023 Accepting new patients
War Memorial Hospital, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Emergency Medicine CurrentSince Mar 4, 1996 Accepting new patients
Winchester Medical Center CurrentSince Mar 4, 1996 Accepting new patients

Locations

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1840 Amherst St
Fl 2
Winchester, VA 22601

220 Campus Blvd
Ste 210
Winchester, VA 22601

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234

329 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4932

363 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4561

Interoperability endpoints

  • Direct secure messaging: kshanabrook124208@valleyhealth.direct-ci.com

Organizations & group practices 13

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 13

Hospital & facility affiliations 4

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1255390118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley Springs",
            "state": "WV",
            "postal_code": "254117463",
            "country_code": "US",
            "telephone_number": "304-258-1234",
            "fax_number": "304-258-7429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Romney",
            "state": "WV",
            "postal_code": "267574607",
            "country_code": "US",
            "telephone_number": "304-822-4561",
            "fax_number": "304-822-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANABROOK",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101045907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0046813000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6050042",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshanabrook124208@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshanabrook124208@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St Fl 2",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshanabrook124208@soc.inova.org",
            "affiliation": "N",
            "address_1": "363 Sunrise Blvd",
            "city": "Romney",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267574607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshanabrook124208@soc.inova.org",
            "affiliation": "N",
            "address_1": "1 Healthy Way",
            "city": "Berkeley Springs",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254117463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.