Individual provider Active NPI

Shiban L Raina, MD

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1861422669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD3374 Issued in DC
Practice address
1150 Varnum St NE
Washington, DC 20017
Phone
(202) 269-7000
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD3374 DC Primary

Addresses

Primary practice location

1150 Varnum St NE
Washington, DC 20017

Mailing address

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000819 DC Practitioner - Internal Medicine 5193708519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health Services IncGroup PAC ID 4385541622, 17 clinicians

Practice addresses (Care Compare)

128 M St NW
PHS Perry Family Health Center
Washington, DC 20001-1205
Phone (202) 854-3840

Hospital & facility affiliations

  • Medstar Health Vna Home health agency, Washington, DC, CCN 097000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD3374DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Services, Inc CurrentSince Mar 4, 2013 Accepting new patients
Providence Health Services Inc Internal Medicine CurrentSince Mar 4, 2013 Accepting new patients
Lucy Webb Hayes National Training School for Deaconsses & Missonaries Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1160 Varnum St NE
#3
Washington, DC 20017
Phone (202) 854-4900

1140 Varnum St NE
Ste 100
Washington, DC 20017
Phone (202) 854-7623

128 M St NW
Washington, DC 20001
Phone (202) 682-3840

128 M St NW
Ste 50
Washington, DC 20001
Phone (202) 682-3840

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

1150 Varnum St NE
Rm 102
Washington, DC 20017

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.

Hospital & facility affiliations 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861422669",
    "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": "20017",
            "telephone_number": "202-269-7000"
        },
        {
            "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": "20017",
            "telephone_number": "202-269-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINA",
        "first_name": "SHIBAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD3374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.