Robert Patrick Shafer, MD
Individual provider Active NPI Anesthesiology Physician · Porthsmuoth, VA
NPI 1336102011 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1336102011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 0101233301 (VA)
- Practice address
- Dept of Anesthesia
620 Jones Paul Jones Circle
Porthsmuoth, VA 23708-2197 - Phone
- (757) 953-3270
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acv Inc
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
- Carilion Medical Center
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 |
|---|---|---|---|---|
| I20100512001049 | VA | Practitioner - Anesthesiology | 9436287455 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
1102 S Jefferson St
Roanoke, VA 24016
Phone (540) 342-0707
5115 Bernard Dr
Ste 201
Roanoke, VA 24018
Phone (540) 345-0289
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101233301 | VA | Yes |
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.