Ahmed Tarik Shinaishin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101239493 Issued in VA

Practice address

7500 Iron Bar LN Ste 120
Gainesville, VA 20155-3603

Phone

(703) 753-6772

Fax

(888) 972-4515

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drshin@mpac.pcc-direct.com
• Direct secure messaging: ashinaishin514347@direct.healthsystem.virginia.edu

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.

• Milestones Pediatric and Adolescent Care, LLC

  • Pediatrics Physician
  • Gainesville, VA
  • NPI 1114352598
  NPD (past) Authorized official
• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393

  Pediatrics

  NPD (past)
• Pediatric Partners of Stafford PC

  • Pediatrics Physician
  • Stafford, VA
  • NPI 1457381766
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Mid-Atlantic Critical Care Services,L.L.C.

  • Critical Care Medicine (Internal Medicine) Physician
  • Takoma Park, MD
  • NPI 1164455853
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395532800000",
    "number": "1497749055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 IRON BAR LN STE 120",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553603",
            "telephone_number": "703-753-6772",
            "fax_number": "888-972-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 IRON BAR LN STE 120",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553603",
            "telephone_number": "703-753-6772",
            "fax_number": "888-972-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINAISHIN",
        "first_name": "AHMED",
        "middle_name": "TARIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2014-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0058963",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101239493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H33950",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vaidehi Archit Shah, M.D.
• Faisal Arkan Shakir, DDS
• Courtney Shaughnessy
• Nahil M Shayeb
• Shea'S Speech Therapy PLLC
• Arshia Ahmadi Shingler, DDS, MS
• Emma Nicole Shirley, PT, DPT
• Cari Short, PSY.D.
• Theresa B. Shupe, M.D.
• Nichole L Sible, MS SLP-CCC

• Pediatrics Physician in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.