Shayan Amir Gates, D.O.
Individual provider Active NPI Neurology Physician · Rockingham, VA
NPI 1356722284 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1356722284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 0102204522 (VA)
- Practice address
- 2006 Health Campus Dr FL 3
Rockingham, VA 22801-8679 - Phone
- (540) 689-5400
- Fax
- (757) 579-8568
- NPI assigned
- Jun 16, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Chesapeake Regional Medical Group
Augusta Health Care Inc
Augusta Medical Group
Practice addresses (Care Compare)
300 Medical Pkwy
Chesapeake, VA 23320-4985
Phone (757) 312-6102
78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 245-7216
Hospital & facility affiliations
- Augusta Health
- Chesapeake General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, 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 |
|---|---|---|---|---|
| I20220906000941 | TX | Practitioner - Neurology | 8628452984 | |
| I20230207001780 | VA | Practitioner - Neurology | 8628452984 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS18829 | FL | MD | Neurology Physician |
| 125638 | MT | MD | Neurology Physician |
| 34.015696 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Medical Group | Current |
Accepting new patients | |
| Chesapeake Regional Medical Group | Current |
Accepting new patients | |
| RMH Medical Group LLC | Current |
Accepting new patients | |
| Alliance Physicians Inc | Neurology | Current | Accepting new patients |
| RMH Medical Group LLC | Current |
Accepting new patients | |
| Augusta Health Care, Inc. | Current |
Accepting new patients | |
| Augusta Medical Group | Current |
Accepting new patients | |
| Sentara Medical Group | Neurology | Current |
Accepting new patients |
| Chesapeake Regional Medical Group | Neurology | Current |
Accepting new patients |
| Augusta Health Care, Inc | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
70 Medical Center Cir
Ste 206
Fishersville, VA 22939
Phone (540) 332-5878
53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687
78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216
136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104
12200 Warwick Blvd
Ste 110
Newport News, VA 23601
Phone (757) 534-5100
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2006 Health Campus Dr
Ste 300
Rockingham, VA 22801
Phone (540) 689-5400
2006 Health Campus Dr
Fl 3
Rockingham, VA 22801
Phone (540) 689-5400
400 Sentara Cir
Ste 201C
Williamsburg, VA 23188
Phone (757) 345-4490
Interoperability endpoints
- shayan.gates.1@5072.direct.athenahealth.com
- shayan.gates.1@14718.direct.athenahealth.com
- https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | OS18829 | FL | |
| Neurology Physician | 2084N0400X | 125638 | MT | |
| Neurology Physician | 2084N0400X | 34.015696 | OH | |
| Neurology Physician | 2084N0400X | 0102204522 | VA | Yes |
Addresses
Primary practice location
2006 Health Campus Dr FL 3
Rockingham, VA 22801-8679
Mailing address
2006 Health Campus Dr FL 3
Rockingham, VA 22801-8679
Phone (540) 689-5400
Other practice location 1
2522 Faux Pine Dr
Harker Heights, TX 76548-2995
Phone (401) 207-1616
Other practice location 2
630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000
Other practice location 3
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212
Other practice location 4
8901 Rockville Pike
Building 19 Floor 6, Neurology Department
Bethesda, MD 20889-0001
Phone (301) 295-4770
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgates817691@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Other providers in Rockingham, VA
- Mike Fornecker
- Maofu Fu
- Byron Garth Fulk
- Brandon Gallo
- Zhijie Gao
- Gemeinschaft Home
- Sara E Gingerich
- Emily B. Girard
- Kelly Eaton Gladin
- Meghan Maureen Glago
All providers in Rockingham, VA · Neurology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. 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.