Active NPI
Shaun M Reynolds, M.D.
- Emergency Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101261779
- Practice address
- 3000 Coliseum Dr
Norfolk, VA 23666 - Phone
- (502) 852-5689
- NPI assigned
- Jun 16, 2011
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01076107A | IN | |
| Emergency Medicine Physician | 207P00000X | 0101261779 | VA | Primary |
| Emergency Medicine Physician | 207P00000X | 47305 | KY |
Addresses
Primary practice location
3000 Coliseum Dr
Norfolk, VA 23666
Mailing address
6141 Sylvan St
Norfolk, VA 23508-1033
Phone (502) 852-5689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Louisville School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Coliseum Dr
Hampton, VA 23666-5963
Phone (757) 736-1000
Hospital & facility affiliations
- Sentara Careplex Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.24 of 100
- Quality
- 75.4
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01076107A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Tidewater | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Mep Health, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
11803 Jefferson Ave
Newport News, VA 23606
Phone (757) 594-1000
2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850
3920 Bridge Rd
Suffolk, VA 23435
Phone (757) 668-4114
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Emergency Medicine Physician
- Norfolk, VA
- NPI 1033136841
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1821383944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6141 SYLVAN ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235081033",
"telephone_number": "502-852-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 COLISEUM DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23666",
"telephone_number": "502-852-5689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "SHAUN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-16",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01076107A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101261779",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "47305",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.