Active NPI
Mohammad Hussein Shakhatreh, M.D.
- Gastroenterology Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101258115
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Augusta Health
- Borgess Medical Center
- Akron General Medical Center
- Grant Medical Center
- Henrico Doctors' Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 44 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35123165 | OH | MD | Gastroenterology Physician |
| 0101258115 | VA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Augusta Medical Group | Current | Accepting new patients | |
| Ascension Medical Group Promed | Internal Medicine | Current | Accepting new patients |
| Centra Medical Group, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Partners Physician Group | Current | Accepting new patients | |
| Partners Physician Group | Internal Medicine | Current | Accepting new patients |
| Centra Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Augusta Medical Group | Current | Accepting new patients | |
| Ohiohealth Corporation | Internal Medicine | Current | Accepting new patients |
| Martha Jefferson Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Ascension Medical Group Promed | Internal Medicine | Current | Accepting new patients |
| Promed Healthcare | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Martha Jefferson Hospital | Past | 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
- mshakhatreh916703@ahs.direct-ci.com
- mshakhatreh2487635@direct.bsmhealth.org
- mshakhatreh70289@direct.carilionclinic.org
- 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.
-
- General Practice Physician
- Fishersville, VA
- NPI 1245489590
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
Internal Medicine
-
dba OhioHealth Physician Group, Inc
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
Internal Medicine
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1649228966
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
Internal Medicine
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
dba Augusta Health Primary Care Lexington
- Rural Health Clinic/Center
- Lexington, VA
- NPI 1265015580
-
dba Bon Secours Orthopedic Specialists
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
- NPI 1841029287
-
dba Centra Medical Group Bedford
- Family Medicine Physician
- Bedford, VA
- NPI 1295104347
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba t/a Augusta Health
- General Acute Care Hospital
- Fishersville, VA
- NPI 1053301127
-
dba Henrico Doctors' Hospital
- General Acute Care Hospital
- Richmond, VA
- NPI 1194762294
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
dba Grant Medical Center
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.