Shahram Ahmadzadeh, M.D.
Individual provider Active NPI Nephrology Physician · Roanoke, VA
NPI 1265489504 · NPPES record last updated Aug 10, 2022
Key facts
- NPI
- 1265489504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 0101240314 (VA)
- Practice address
- 2602 Franklin Rd SW
Roanoke, VA 24014-1010 - Phone
- (540) 344-1400
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Care of Virginia PC
Practice addresses (Care Compare)
2602 Franklin Rd SW
Roanoke, VA 24014-1010
Phone (540) 343-5968
Hospital & facility affiliations
- Bma - Crystal Spring
- Carilion Medical Center
- Lewisgale Medical Center
- Carilion Franklin Memorial Hospital
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 |
|---|---|---|---|---|
| I20070108000208 | VA | Practitioner - Nephrology |
5193725604 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current |
Accepting new patients | |
| Carilion Medical Center | Current |
Accepting new patients | |
| Physicians Care of Virginia PC | Nephrology | Current |
Accepting new patients |
| Fairlawn Surgery Center, LLC | Past | Accepting new patients |
Locations
2030 Stephenson Ave SW
Roanoke, VA 24014
Phone (540) 283-2708
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
2602 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 343-5968
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
Interoperability endpoints
- shahramahmadzadeh@pcv.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 0101240314 | VA | Yes |
Addresses
Primary practice location
2602 Franklin Rd SW
Roanoke, VA 24014-1010
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715
Other practice location 1
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Other providers in Roanoke, VA
- Melissa Aguilar
- Ahc Home Health of Roanoke, LLC
- Bashiruddin K Ahmad
- Darakhshan Ahmad
- Hajra Ahmad
- Nasreen Ahmed
- Jaspreet Singh Ahuja
- Ebunoluwa Ajadi
- Hashem Nabil a Akbar
- Elizabeth Aker
All providers in Roanoke, VA · Nephrology 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 Aug 10, 2022. 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.