Individual provider Active NPI

Robert Patrick Shafer, MD

  • Anesthesiology Physician
  • Porthsmuoth, VA
National Provider Identifier
1336102011
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101233301 Issued in VA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512001049 VA Practitioner - Anesthesiology 9436287455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acv IncGroup PAC ID 3870633936, 70 clinicians

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

LicenseStateTypeSpecialty
0101233301VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acv Inc Anesthesiology CurrentSince Aug 15, 2011 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.