Individual provider Active NPI

Fred T Shaia, M.D.

  • Specialist
  • Richmond, VA
National Provider Identifier
1598765349
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17492 Issued in VA
Practice address
10200 Three Chopt Rd
Richmond, VA 23233-2012
Phone
(804) 288-3277
Fax
(804) 282-1043
NPI assigned
Jul 22, 2005
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17492 VA Primary

Addresses

Primary practice location

10200 Three Chopt Rd
Richmond, VA 23233-2012

Mailing address

10200 Three Chopt Rd
Richmond, VA 23233-2012
Phone (804) 288-3277

Other identifiers 1

IdentifierTypeStateIssuer
006547591MedicaidVA

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
I20100809000152 VA Practitioner - Otolaryngology 2668520685 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17492VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance and Ear Center Current Accepting new patients
Balance and Ear Center, Inc Specialist CurrentSince May 16, 1991 Accepting new patients
Virginia Hearing Center Current Accepting new patients

Locations

10200 Three Chopt Rd
Richmond, VA 23233
Phone (804) 288-3277

Organizations & group practices 3

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1598765349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 THREE CHOPT RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232332012",
            "telephone_number": "804-288-3277",
            "fax_number": "804-282-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 THREE CHOPT RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232332012",
            "telephone_number": "804-288-3277",
            "fax_number": "804-282-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIA",
        "first_name": "FRED",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "17492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006547591",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.