Individual provider Active NPI

Bobby Leonard Shelton II, MD

  • Anesthesiology Physician
  • Williamsburg, VA
National Provider Identifier
1386672509
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101240641 Issued in VA
Practice address
1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone
(757) 585-2200
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 046246 GA
Anesthesiology Physician 207L00000X 0101240641 VA Primary

Addresses

Primary practice location

1500 Commonwealth Ave
Williamsburg, VA 23185-5229

Mailing address

8553 Terrior Lane
New Kent, VA 23124
Phone (540) 538-4447

Other identifiers 1

IdentifierTypeStateIssuer
010386934MedicaidVA

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
I20070511000320 VA Practitioner - Anesthesiology 4385740174 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Creighton University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology of Virginia PCGroup PAC ID 6800790023, 514 clinicians

Practice addresses (Care Compare)

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2000

Hospital & facility affiliations

  • Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046246GAMDAnesthesiology Physician
0101240641VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Group, LLC Anesthesiology CurrentSince Oct 2, 2019 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients
Premier Anesthesia of Virginia LLC Anesthesiology CurrentSince May 1, 2025 Accepting new patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

400 Sentara Cir
#200
Williamsburg, VA 23188
Phone (678) 690-7816

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1386672509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 TERRIOR LANE",
            "city": "NEW KENT",
            "state": "VA",
            "postal_code": "23124",
            "telephone_number": "540-538-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COMMONWEALTH AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855229",
            "telephone_number": "757-585-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "BOBBY",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "046246",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101240641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010386934",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.