Individual provider Active NPI

Mohammad Hussein Shakhatreh, M.D.

  • Gastroenterology Physician
  • Roanoke, VA
National Provider Identifier
1649430216
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101258115 Issued in VA
Practice address
3 Riverside Cir
Roanoke, VA 24016
Phone
(540) 224-5170
Fax
(540) 985-9418
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P1405 TX
Gastroenterology Physician 207RG0100X 0101258115 VA Primary
Gastroenterology Physician 207RG0100X 35123165 OH

Addresses

Primary practice location

3 Riverside Cir
Roanoke, VA 24016

Mailing address

3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170

Other practice location 1

111 S Grant Ave
Columbus, OH 43215-4701
Phone (614) 566-9550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mshakhatreh1373477@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA, NM, MI, AZ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20140804001498 OH Practitioner - Gastroenterology 7911160270 Reassigns benefits to 2 organizations
I20150706002027 VA Practitioner - Gastroenterology 7911160270 Reassigns benefits to 4 organizations
I20240220004270 NM Practitioner - GastroenterologyPractitioner - Internal Medicine 7911160270 Reassigns benefits to 1 organization
I20250820001155 MI Practitioner - Gastroenterology 7911160270 Reassigns benefits to 1 organization
I20260617003789 AZ Practitioner - Gastroenterology 7911160270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 384-5050

111 S Grant Ave
Columbus, OH 43215-4701
Phone (614) 566-9489

13700 St Francis Blvd
Suite 302
Midlothian, VA 23114-3222
Phone (804) 281-8303

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000

1510 N 28TH St
Richmond, VA 23223-5311

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

9 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 245-7350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Upper gastrointestinal (GI) endoscopy for acid reflux123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35123165OHMDGastroenterology Physician
0101258115VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Apr 1, 2024 Accepting new patients
Augusta Medical Group CurrentSince Jan 12, 2026 Accepting new patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Centra Medical Group, LLC CurrentSince Jun 27, 2025 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Apr 1, 2024 Accepting new patients
Partners Physician Group CurrentSince Nov 6, 2024 Accepting new patients
Partners Physician Group Internal Medicine CurrentSince Nov 6, 2024 Accepting new patients
Centra Medical Group, LLC Internal Medicine CurrentSince Jun 27, 2025 Accepting new patients
Augusta Medical Group CurrentSince Jan 12, 2026 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Sep 5, 2025 Accepting new patients
Martha Jefferson Medical Group LLC Internal Medicine CurrentSince Jun 22, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Ascension Medical Group Promed Internal Medicine CurrentSince Aug 4, 2025 Accepting new patients
Promed Healthcare CurrentSince Aug 4, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 5, 2025 Accepting new patients
Martha Jefferson Hospital PastSince Jun 22, 2020 Accepting new patients

Locations

1717 Shaffer St
Ste 002
Kalamazoo, MI 49048

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

500 Walter St NE
Ste 401
Albuquerque, NM 87102
Phone (505) 727-5910

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

4705 Montgomery Blvd NE
Ste 102
Albuquerque, NM 87109
Phone (505) 727-7833

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

4705 Montgomery Blvd NE
Ste 201
Albuquerque, NM 87109
Phone (505) 727-6550

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

500 Martha Jefferson Dr
Ste 415C
Charlottesville, VA 22911
Phone (434) 654-8960

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

9 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 245-7350

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • Direct secure messaging: mshakhatreh916703@ahs.direct-ci.com
  • Direct secure messaging: mshakhatreh2487635@direct.bsmhealth.org
  • Direct secure messaging: mshakhatreh70289@direct.carilionclinic.org
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1649430216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RIVERSIDE CIR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164955",
            "telephone_number": "540-224-5170",
            "fax_number": "540-985-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RIVERSIDE CIR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24016",
            "telephone_number": "540-224-5170",
            "fax_number": "540-985-9418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154701",
            "country_code": "US",
            "telephone_number": "614-566-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKHATREH",
        "first_name": "MOHAMMAD",
        "middle_name": "HUSSEIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1405",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101258115",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35123165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshakhatreh1373477@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "111 S Grant Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.