Active NPI
Robert Patrick Shafer, MD
- Anesthesiology Physician
- Porthsmuoth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101233301
- Practice address
- Dept of Anesthesia
620 Jones Paul Jones Circle
Porthsmuoth, VA 23708-2197 - Phone
- (757) 953-3270
- NPI assigned
- Apr 11, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101233301 | VA | Primary |
Addresses
Primary practice location
Dept of Anesthesia
620 Jones Paul Jones Circle
Porthsmuoth, VA 23708-2197
Mailing address
3602 Gold Cup PT
Suffolk, VA 23435-3248
Phone (757) 638-9052
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Elm Ave
Roanoke, VA 24013-2230
Phone (540) 224-6780
1722 S Jefferson St
Roanoke, VA 24014-2482
Phone (540) 981-7268
2030 Stephenson Swave
Roanoke, VA 24014-1664
Phone (540) 904-6170
2107 Rosalind Swave
Roanoke, VA 24014-1745
Phone (540) 904-6170
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101233301 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acv Inc | Anesthesiology | Current | Accepting new patients |
| Danville Anesthesiologists Inc | Anesthesiology | Past | Accepting new patients |
| Anesthesiology Consultants of Virginia, Inc | Anesthesiology | Past | Accepting new patients |
Locations
1102 S Jefferson St
Roanoke, VA 24016
Phone (540) 342-0707
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
5115 Bernard Dr
Ste 201
Roanoke, VA 24018
Phone (540) 345-0289
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1881927259
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1225016603
-
- Anesthesiology Physician
- Danville, VA
- NPI 1184700569
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carilion Roanoke Memorial Hospital
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336102011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3602 GOLD CUP PT",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353248",
"telephone_number": "757-638-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT OF ANESTHESIA",
"address_2": "620 JONES PAUL JONES CIRCLE",
"city": "PORTHSMUOTH",
"state": "VA",
"postal_code": "237082197",
"telephone_number": "757-953-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "ROBERT",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101233301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.