Individual provider Active NPI

Rebecca Ryan Shoemaker, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Newport News, VA
National Provider Identifier
1275978017
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
0101263940 Issued in VA
Practice address
732 Thimble Shoals Blvd Ste 803
Newport News, VA 23606
Phone
(757) 933-8888
Fax
(757) 806-6320
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 00116028976 VA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0101263940 VA Primary

Addresses

Primary practice location

732 Thimble Shoals Blvd Ste 803
Newport News, VA 23606

Mailing address

1250 E Marshall St
Richmond, VA 23298-5051

Other identifiers 5

IdentifierTypeStateIssuer
6731883OtherVAUNITED HEALTHCARE
6731883OtherVAMAMSI
1275978017OtherVADEPT OF LABOR
1275978017MedicaidVA
670633OtherVABLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.shoemaker@hrosm.cernerdirect.com Health Information Exchange (HIE)

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
I20180612000952 VA Practitioner - Pain Management 3779886221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Virginia Commonwealth University, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

860 Omni Blvd
Suite 115
Newport News, VA 23606-4430
Phone (757) 706-3481

Hospital & facility affiliations

  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101263940VAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
00116028976VAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jul 5, 2022 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jul 5, 2022 Accepting new patients
Hampton Roads Orthopaedic & Sports Medicine LLC Pain Medicine PastSince May 18, 2025 Accepting new patients

Locations

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

827 Diligence Dr
Ste 100
Newport News, VA 23606

13195 Warwick Blvd
Ste 2C
Newport News, VA 23602
Phone (804) 877-4221

11761 Rock Landing Dr
Ste 8
Newport News, VA 23606

860 Omni Blvd
Ste 115
Newport News, VA 23606
Phone (757) 232-8844

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD
  • Direct secure messaging: rebecca.shoemaker@hrosm.cernerdirect.com
  • Direct secure messaging: rshoemaker@hrosm.gwaydirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1275978017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 803",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-933-8888",
            "fax_number": "757-806-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "REBECCA",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "VA",
            "license": "00116028976",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101263940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6731883",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "6731883",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "1275978017",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275978017",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "670633",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.shoemaker@hrosm.cernerdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "732 Thimble Shoals Blvd Ste 803",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.