Individual provider Active NPI

Amro H. Shihabi, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Burke, VA
National Provider Identifier
1346383486
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
C1-0010973 Issued in DE
Practice address
5206 Lyngate CT
Burke, VA 22015
Phone
(703) 425-5010
Fax
(410) 706-0891
NPI assigned
Feb 15, 2007
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0438000397 VA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X C1-0010973 DE Primary

Addresses

Primary practice location

5206 Lyngate CT
Burke, VA 22015

Mailing address

5206 Lyngate CT
Burke, VA 22015
Phone (703) 425-5010

Other practice location 1

2807 Duke St
Alexandria, VA 22314-4512
Phone (571) 777-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2015 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0438000397VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Maryland Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery Past Accepting new patients
Dr. Stuart L. Graves, DDS, Ms, PC Oral and Maxillofacial Surgery PastSince Mar 24, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashihabi671262@soc.inova.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1346383486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-425-5010",
            "fax_number": "410-706-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-425-5010",
            "fax_number": "410-706-0891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2807 Duke St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144512",
            "country_code": "US",
            "telephone_number": "571-777-6501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIHABI",
        "first_name": "AMRO",
        "middle_name": "H.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000397",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "DE",
            "license": "C1-0010973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.