James Ross Shauberger, D.O.
Individual provider Active NPI Internal Medicine Physician · Meadowview, VA
NPI 1508026352 · NPPES record last updated Sep 29, 2022
Key facts
- NPI
- 1508026352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0102202581 (VA)
- Practice address
- 13168 Meadowview Square
Meadowview, VA 24361 - Phone
- (276) 944-3999
- NPI assigned
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- University of New England, College of Osteo Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Helping Hands Hospice, Inc.
Town Center Urgent Care LLC
Practice addresses (Care Compare)
1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190
Phone (866) 964-4313
1368 American Way
Bedford, VA 24523-2940
Phone (276) 244-1557
Hospital & facility affiliations
- Ultra Health Home Care
- Helping Hands Hospice, Inc
- Clinch Valley Medical Center
- Buchanan General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Ultra Health Hospice |
Hospice | W-2 Managing Employee | Feb 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150911001195 | VA | Practitioner - General Practice |
8729395587 |
Reassigns benefits to 2 organizations Practice locations: Bristol, VA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102202581 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Continuum | Internal Medicine | Current | Accepting new patients |
| Town Center Urgent Care LLC | Current |
Accepting new patients | |
| Helping Hands Hospice, Inc. | Current |
Accepting new patients | |
| Blue Ridge Healthcare Partners, LLC | Past |
Accepting new patients |
Locations
1368 American Way
Bedford, VA 24523
Phone (540) 210-8908
1107 Riverview St
Grundy, VA 24614
Phone (276) 244-1557
1039 Mayberry Crossing Dr
Ste Ab
Moneta, VA 24121
Phone (540) 210-8908
Interoperability endpoints
- james.shauberger.1@30160.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102202581 | VA | Yes |
Addresses
Primary practice location
13168 Meadowview Square
Meadowview, VA 24361
Mailing address
PO Box 297
Meadowview, VA 24361-0297
Phone (276) 496-4492
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01539083 | Other | VA | RAILROAD MEDICARE |
| Q016533 | Medicaid | TN | |
| 1508026352 | Medicaid | VA |
Other providers in Meadowview, VA
- Michael Kleinot
- Sharon Kiser Lynch
- Vicente Ortiz
- Cameron Pease
- Phaedra Almajid
- Southwest Virginia Community Health Systems Inc.
- Donna Jean Sparks
- Teresa Mae Vance
- Alex Versen
- Carol Wilson
All providers in Meadowview, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.