Individual provider Active NPI

David Shulmister, MD

  • Emergency Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1427080324
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101037936 Issued in VA
Practice address
1100 First Colonial Rd
Virginia Beach, VA 23454-2403
Phone
(757) 366-3100
Fax
(757) 366-9474
NPI assigned
Jul 7, 2006
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101037936 VA Primary

Addresses

Primary practice location

1100 First Colonial Rd
Virginia Beach, VA 23454-2403

Mailing address

814 Greenbrier Cir Ste H
Chesapeake, VA 23320-2643
Phone (757) 366-3100

Other identifiers 1

IdentifierTypeStateIssuer
6081380MedicaidVA

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
I20071106000426 VA Practitioner - Emergency Medicine 7810890217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Acquisition Corp.Group PAC ID 7012803281, 5 clinicians

Practice addresses (Care Compare)

1100 1St Colonial Rd
Virginia Beach, VA 23454-2403
Phone (757) 463-5240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101037936VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Tidewater Emergency Medicine CurrentSince Sep 9, 1987 Accepting new patients
Hamilton Acquisition Corp. CurrentSince May 15, 2024 Accepting new patients

Locations

814 Greenbrier Cir
Ste H
Chesapeake, VA 23320

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 934-4000

1100 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 463-5240

4092 Foxwood Dr
Ste 101
Virginia Beach, VA 23462
Phone (757) 467-4200

800 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 363-6100

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1427080324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 GREENBRIER CIR STE H",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202643",
            "telephone_number": "757-366-3100",
            "fax_number": "757-366-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542403",
            "telephone_number": "757-366-3100",
            "fax_number": "757-366-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMISTER",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101037936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6081380",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.