Individual provider Active NPI

Sufia B Shahid, MD

  • Pediatrics Physician
  • Newport News, VA
National Provider Identifier
1396724407
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101039270 Issued in VA
Practice address
4714 Marshall Ave
Newport News, VA 23607-2247
Phone
(757) 380-8709
Fax
(757) 928-0902
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101039270 VA Primary

Addresses

Primary practice location

4714 Marshall Ave
Newport News, VA 23607-2247

Mailing address

4714 Marshall Ave
Newport News, VA 23607-2247
Phone (757) 380-8709

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
I20101015000258 VA Practitioner - Pediatric Medicine 2567655111 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Institute for Community Health Inc CurrentSince Sep 7, 2010 Accepting new patients
Peninsula Institute for Community Health Inc Past Accepting new patients

Locations

490 Liberty St
Chesapeake, VA 23324
Phone (757) 228-1288

4714 Marshall Ave
Newport News, VA 23607
Phone (757) 380-8709

9294 Warwick Blvd
Newport News, VA 23607
Phone (757) 223-7001

15425 Warwick Blvd
Ste H
Newport News, VA 23608
Phone (757) 874-8400

1033 28th St
Fl 2
Newport News, VA 23607
Phone (757) 591-0643

1033 28th St
Newport News, VA 23607
Phone (757) 591-0643

104 N Witchduck Rd
Virginia Beach, VA 23462
Phone (757) 385-2437

940 General Booth Blvd
Ste A
Virginia Beach, VA 23451
Phone (757) 425-3610

Interoperability endpoints

  • Direct secure messaging: sufia.shahid@sevhs.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1396724407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 MARSHALL AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236072247",
            "telephone_number": "757-380-8709",
            "fax_number": "757-928-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 MARSHALL AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236072247",
            "telephone_number": "757-380-8709",
            "fax_number": "757-928-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "SUFIA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101039270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.