Individual provider Active NPI

Sally Marie Shughart, M.D.

  • Anesthesiology Physician
  • Roanoke, VA
National Provider Identifier
1821118209
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101245116 Issued in VA
Practice address
5115 Bernard Dr SW #201
Roanoke, VA 24018
Phone
(540) 345-0289
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101245116 VA Primary

Addresses

Primary practice location

5115 Bernard Dr SW #201
Roanoke, VA 24018

Mailing address

5115 Bernard Dr SW #201
Roanoke, VA 24018
Phone (540) 345-0289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090611000090 VA Practitioner - Anesthesiology 2860542933 Reassigns benefits to 4 organizations
I20251014001333 DC Practitioner - Anesthesiology 2860542933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Professional Services LLCGroup PAC ID 2163323999, 86 clinicians

Practice addresses (Care Compare)

1305 Walt Whitman Rd
Suite 300
Melville, NY 11747-4300

1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone (757) 585-2200

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 489-6353

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 853-0222

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

7519 Hospital Dr
Gloucester, VA 23061-4178
Phone (804) 693-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101245116VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Professional Services LLC CurrentSince Jul 13, 2025 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Sep 23, 2023 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Sep 23, 2023 Accepting new patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
Valley Anesthesia PC Anesthesiology CurrentSince Nov 4, 2023 Accepting new patients
Acv Inc Anesthesiology PastSince Jan 1, 2010 Accepting new patients
Anesthesiology Consultants of Virginia, Inc Anesthesiology Past Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: sshughart20842@direct.carilionclinic.org

Organizations & group practices 7

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 2

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1821118209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR SW #201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-345-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR SW #201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-345-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUGHART",
        "first_name": "SALLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101245116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.