Individual provider Active NPI

Shumona Zahid Ima, M. D.

  • Internal Medicine Physician
  • Hampton, VA
National Provider Identifier
1265971253
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101269255 Issued in VA
Practice address
4000 Coliseum Dr Ste 445
Hampton, VA 23666-5981
Phone
(757) 827-2127
Fax
(757) 827-2255
NPI assigned
Feb 23, 2017
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT212383 PA
Internal Medicine Physician 207R00000X 0101269255 VA Primary
Hospitalist Physician 208M00000X 0101269255 VA

Addresses

Primary practice location

4000 Coliseum Dr Ste 445
Hampton, VA 23666-5981

Mailing address

4000 Coliseum Dr Ste 445
Hampton, VA 23666-5981
Phone (757) 827-2127

Other practice location 1

250 S 21st St
Easton, PA 18042-3851
Phone (479) 790-4814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200616001798 VA Practitioner - Internal Medicine 3476975640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

4000 Coliseum Dr
Suite 310
Hampton, VA 23666-5983
Phone (757) 827-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT212383PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Sentara Medical Group Hospitalist PastSince Sep 6, 2020 Accepting new patients

Locations

4000 Coliseum Dr
Ste 310
Hampton, VA 23666
Phone (757) 262-1110

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1265971253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR STE 445",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665981",
            "telephone_number": "757-827-2127",
            "fax_number": "757-827-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR STE 445",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665981",
            "telephone_number": "757-827-2127",
            "fax_number": "757-827-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 S 21st St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180423851",
            "country_code": "US",
            "telephone_number": "479-790-4814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMA",
        "first_name": "SHUMONA",
        "middle_name": "ZAHID",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT212383",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101269255",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101269255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.