Individual provider Active NPI

Leon R Shaw, MD

  • Anesthesiology Physician
  • Washington, DC
National Provider Identifier
1841235009
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0065441 Issued in MD
Practice address
1150 Varnum St NE
Washington, DC 20017-2104
Phone
(202) 448-4041
Fax
(202) 269-7825
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101234439 VA
Anesthesiology Physician 207L00000X MD040830 DC
Anesthesiology Physician 207L00000X D0065441 MD Primary

Addresses

Primary practice location

1150 Varnum St NE
Washington, DC 20017-2104

Mailing address

1150 Varnum St NE
Washington, DC 20017-2104
Phone (202) 448-4041

Other practice location 1

810 Bestgate Rd Ste 120
Annapolis, MD 21401-3655
Phone (855) 527-7246

Other identifiers 4

IdentifierTypeStateIssuer
289021OtherVAANTHEM BCBS
P00019895OtherVAMEDICARE - RR
1809123-000OtherVAMEDICAID - WV
005720800MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NC, VA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20071011000428 MD Practitioner - Anesthesiology 3476649138 Reassigns benefits to 3 organizations
I20130429000429 DC Practitioner - Anesthesiology 3476649138 Reassigns benefits to 8 organizations
I20141129000019 NC Practitioner - Anesthesiology 3476649138 Reassigns benefits to 1 organization
I20230531000363 VA Practitioner - Anesthesiology 3476649138 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0065441MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearway Anesthesia Services NE LLC Anesthesiology CurrentSince Feb 12, 2024 Accepting new patients
Ambulatory Anesthesia Associates LLC Anesthesiology CurrentSince Oct 23, 2024 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Jun 5, 2023 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Nov 13, 2023 Accepting new patients
Anesthesia Connections-Virginia, LLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Jan 20, 2024 Accepting new patients
Reston Anesthesia Associates, PC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Global Anesthesia Services LLC Anesthesiology CurrentSince Oct 19, 2024 Accepting new patients
Stonesprings Anesthesia Associates, LTD Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Associated Anesthesiology Practice P.a. Anesthesiology Past Accepting new patients
Southwest Anesthesia, PC Anesthesiology Past Accepting new patients
Pain Management, LLC Past Accepting new patients
Providence Health Services, Inc Anesthesiology Past Accepting new patients

Locations (25 of 27)

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

810 Bestgate Rd
Ste 120
Annapolis, MD 21401

626C Admiral Dr
#324
Annapolis, MD 21401

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

6410 Rockledge Dr
Ste 400
Bethesda, MD 20817
Phone (301) 530-5200

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

9001 Woodyard Rd
Ste B
Clinton, MD 20735
Phone (301) 868-4950

5500 Knoll North Dr
Ste 501
Columbia, MD 21045
Phone (833) 301-7246

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

598 Cynwood Dr
Ste 103
Easton, MD 21601
Phone (410) 820-7040

7625 Maple Lawn Blvd
Ste 110
Fulton, MD 20759
Phone (301) 490-5025

19851 Observation Dr
Ste 350
Germantown, MD 20876

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501

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

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

2710 Prosperity Ave
Ste 200
Fairfax, VA 22031
Phone (703) 650-2333

3620 Joseph Siewick Dr
Ste 202
Fairfax, VA 22033
Phone (703) 766-6960

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1841235009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-448-4041",
            "fax_number": "202-269-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-448-4041",
            "fax_number": "202-269-7825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Bestgate Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013655",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LEON",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101234439",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DC",
            "license": "MD040830",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0065441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "289021",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - RR",
            "identifier": "P00019895",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - WV",
            "identifier": "1809123-000",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005720800",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.