NPIMap

Organization Active NPI

Teresa a Shenouda MD PLLC

  • Ophthalmology Physician
  • Chesapeake, VA
National Provider Identifier
1831528652
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TERESA A SHENOUDA MD PLLC
Practice address
1108 Cedar Rd
Chesapeake, VA 23322-7102
Phone
(757) 436-3937
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Teresa A ShenoudaNPI 1134104045
Title
Owner
Phone
(757) 965-5250

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1108 Cedar Rd
Chesapeake, VA 23322-7102

Mailing address

1108 Cedar Rd
Chesapeake, VA 23322-7102
Phone (757) 436-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140108000475 VA Part B Supplier - Clinic/Group Practice 4385872894 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA; Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

600 Gresham Dr
#2
Norfolk, VA 23507
Phone (757) 932-5393

400 Gresham Dr
Ste 103
Norfolk, VA 23507
Phone (757) 932-5393

4433 Corporation Ln
Ste 195
Virginia Beach, VA 23462
Phone (757) 604-9544

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13340/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1831528652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 CEDAR RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227102",
            "telephone_number": "757-436-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 CEDAR RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227102",
            "telephone_number": "757-436-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA A SHENOUDA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "SHENOUDA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-965-5250"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.