Individual provider Active NPI

Robert A. Shor, M.D.

  • Cardiovascular Disease Physician
  • Reston, VA
National Provider Identifier
1386646420
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101043550 Issued in VA
Practice address
1850 Town Center Pkwy
Ste 550
Reston, VA 20190-3219
Phone
(703) 437-5977
Fax
(703) 478-2475
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101043550 VA Primary

Addresses

Primary practice location

1850 Town Center Pkwy
Ste 550
Reston, VA 20190-3219

Mailing address

2901 Telestar CT.
#300
Falls Church, VA 22042-1263
Phone (703) 591-1688

Other identifiers 5

IdentifierTypeStateIssuer
060062626OtherVARAILROAD MEDICARE VA #
031742500MedicaidDC
060034781OtherDCRAILROAD MEDICARE DC #
1386646420MedicaidVA
220681100MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rshor26195@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100220000246 VA Practitioner - Cardiovascular Disease (Cardiology) 9638213242 Reassigns benefits to 3 organizations
I20100225000101 DC Practitioner - Cardiovascular Disease (Cardiology) 9638213242 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reston Hospital Center, LLC CurrentSince Aug 20, 2016 Accepting new patients
Northern Virginia Community Hospital, LLC CurrentSince May 16, 2017 Accepting new patients
Reston Hospital Center, LLC CurrentSince Aug 20, 2016 Accepting new patients
Inova Health Care Services CurrentSince Mar 26, 2011 Accepting new patients
Inova Health Care Services CurrentSince Mar 26, 2011 Accepting new patients
Northern Virginia Community Hospital LLC Cardiovascular Disease CurrentSince May 16, 2017 Accepting new patients
Inova Health Care Services CurrentSince Mar 8, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

1860 Town Center Dr
Ste 120
Reston, VA 20190
Phone (703) 656-9805

1850 Town Center Pkwy
Ste 550
Reston, VA 20190
Phone (703) 437-5977

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

130 Park St SE
Ste 100
Vienna, VA 22180
Phone (703) 281-1265

1900 Gallows Rd
Ste 110
Vienna, VA 22182
Phone (703) 281-1265

Interoperability endpoints

  • Direct secure messaging: rshor26195@soc.inova.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1386646420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT.",
            "address_2": "#300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421263",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "address_2": "STE 550",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903219",
            "telephone_number": "703-437-5977",
            "fax_number": "703-478-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOR",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101043550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE VA #",
            "identifier": "060062626",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031742500",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE DC #",
            "identifier": "060034781",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386646420",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220681100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rshor26195@soc.inova.org",
            "affiliation": "N",
            "address_1": "1850 Town Center Pkwy",
            "address_2": "Ste 550",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201903219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.