Individual provider Active NPI

Ryan S. Shugarman, M.D.

  • Psychiatry Physician
  • Alexandria, VA
National Provider Identifier
1477677284
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101245080 Issued in VA
Practice address
901 N Washington St Ste 601
Alexandria, VA 22314-1535
Phone
(703) 596-1024
Fax
(703) 596-1573
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X MD037801 DC
Forensic Psychiatry Physician 2084F0202X D0068641 MD
Forensic Psychiatry Physician 2084F0202X 0101245080 VA
Psychiatry Physician 2084P0800X MD037801 DC
Psychiatry Physician 2084P0800X D0068641 MD
Psychiatry Physician 2084P0800X 0101245080 VA Primary

Addresses

Primary practice location

901 N Washington St Ste 601
Alexandria, VA 22314-1535

Mailing address

901 N Washington St
Suite 601
Alexandria, VA 22314-1535
Phone (703) 596-1024

Other names 1

  • Dr. Ryan Scott Shugarman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20130109000338 DC Practitioner - Psychiatry 1658524392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Maryland School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

901 N Washington St
Suite 601
Alexandria, VA 22314-1535
Phone (703) 596-1024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037801DCMDForensic Psychiatry Physician
D0068641MDMDForensic Psychiatry Physician
0101245080VAMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan S Shugarman MD PLLC Forensic Psychiatry CurrentSince Dec 20, 2011 Accepting new patients

Locations

901 N Washington St
Ste 601
Alexandria, VA 22314
Phone (315) 552-1667

Organizations & group practices 1

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1477677284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N WASHINGTON ST",
            "address_2": "SUITE 601",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141535",
            "telephone_number": "703-596-1024",
            "fax_number": "703-596-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N WASHINGTON ST STE 601",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141535",
            "telephone_number": "703-596-1024",
            "fax_number": "703-596-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUGARMAN",
        "first_name": "RYAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "DC",
            "license": "MD037801",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MD",
            "license": "D0068641",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "VA",
            "license": "0101245080",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD037801",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0068641",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101245080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "SHUGARMAN",
            "middle_name": "SCOTT",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.