Individual provider Active NPI

Shalom Chege

  • Family Medicine Physician
  • Midlothian, VA
National Provider Identifier
1699415240
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME175429 Issued in FL
Practice address
13540 Hull Street Rd
Midlothian, VA 23112-2107
Phone
(804) 739-6142
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME175429 FL Primary

Addresses

Primary practice location

13540 Hull Street Rd
Midlothian, VA 23112-2107

Mailing address

10889 Rutherford Rd
Fort Myers, FL 33913-8419
Phone (239) 314-9573

Other practice location 1

411 W Indiantown Rd
Jupiter, FL 33458-3538
Phone (561) 642-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260601002533 FL Practitioner - Family Practice 6507336435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida State University College of Medicine, 2022
Medicare assignment
May accept Medicare assignment
Group practices
District Clinic Holdings IncGroup PAC ID 4486876000, 15 clinicians

Practice addresses (Care Compare)

4801 S Congress Ave
Suite 101
Palm Springs, FL 33461-4746
Phone (561) 642-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME175429FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Clinic Holdings Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1699415240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10889 RUTHERFORD RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138419",
            "telephone_number": "239-314-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122107",
            "telephone_number": "804-739-6142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 W Indiantown Rd",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334583538",
            "country_code": "US",
            "telephone_number": "561-642-1000",
            "fax_number": "561-804-5629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEGE",
        "first_name": "SHALOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME175429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.