NPIMap

Organization Active NPI

Shenandoah Valley Radiation Oncology Associates, PC

  • Radiation Oncology Physician
  • Rockingham, VA
National Provider Identifier
1811978422
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
SHENANDOAH VALLEY RADIATION ONCOLOGY ASSOCIATES, PC
Practice address
2008 Health Campus Dr
Rockingham Memorial Hospital, Hahn Cancer Center
Rockingham, VA 22801-3272
Phone
(540) 564-5532
Fax
(540) 564-7094
NPI assigned
Nov 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Robert M Kyler, M.D.NPI 1396746715
Title
President
Phone
(540) 245-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

2008 Health Campus Dr
Rockingham Memorial Hospital, Hahn Cancer Center
Rockingham, VA 22801-3272

Mailing address

PO Box 791248
Baltimore, MD 21279-1248
Phone (770) 693-6022

Other identifiers 1

IdentifierTypeStateIssuer
C04958OtherVAMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051220000966 VA Part B Supplier - Clinic/Group Practice 6002838968 Receives reassigned benefits from 5 practitioners
Practice locations: Rockingham, VA; Fishersville, VA; Charlottesville, VA

National Provider Directory

National Provider Directory

Locations

100 E Grace St
Harrisonburg, VA 22807
Phone (540) 564-5511

2008 Health Campus Dr
Fl 1
Rockingham, VA 22801
Phone (540) 689-7000

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1811978422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791248",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791248",
            "telephone_number": "770-693-6022",
            "fax_number": "770-693-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 HEALTH CAMPUS DR",
            "address_2": "ROCKINGHAM MEMORIAL HOSPITAL, HAHN CANCER CENTER",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228013272",
            "telephone_number": "540-564-5532",
            "fax_number": "540-564-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH VALLEY RADIATION ONCOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "KYLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-245-7000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C04958",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.