NPIMap

Individual provider Active NPI

Archana K Shyamsunder, M.D.

  • Nephrology Physician
  • Winchester, VA
National Provider Identifier
1811958085
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101237060 Issued in VA
Practice address
812 Amherst St
Ste 201
Winchester, VA 22601-6452
Phone
(540) 450-1600
Fax
(540) 450-0166
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101237060 VA Primary

Addresses

Primary practice location

812 Amherst St
Ste 201
Winchester, VA 22601-6452

Mailing address

812 Amherst St
Ste 201
Winchester, VA 22601-6452
Phone (540) 450-1600

Other identifiers 3

IdentifierTypeStateIssuer
1811958085MedicaidVA
299194OtherVABLUE CROSS OF VA
3810007092MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000591 VA Practitioner - NephrologyPractitioner - Internal Medicine 1759340367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Physician Associates of Winchester PLCGroup PAC ID 3870692551, 7 clinicians

Practice addresses (Care Compare)

141 Market St
Winchester, VA 22603-4750
Phone (540) 450-1600

812 Amherst St
Suite 201
Winchester, VA 22601-3344
Phone (540) 450-1600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Physician Associates of Winchester PLC CurrentSince Jul 1, 2007 Accepting new patients

Locations

812 Amherst St
Ste 201
Winchester, VA 22601
Phone (540) 450-1600

Interoperability endpoints

  • Direct secure messaging: archanashyamsunder@rpa.allscriptsdirect.net
  • Direct secure messaging: archana.shyamsunder@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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.

Hospital & facility affiliations 9

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1811958085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 AMHERST ST",
            "address_2": "STE 201",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016452",
            "telephone_number": "540-450-1600",
            "fax_number": "540-450-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 AMHERST ST",
            "address_2": "STE 201",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016452",
            "telephone_number": "540-450-1600",
            "fax_number": "540-450-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYAMSUNDER",
        "first_name": "ARCHANA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101237060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811958085",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF VA",
            "identifier": "299194",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007092",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.