Individual provider Active NPI

Nebiyu Shukur, M.D.

  • Emergency Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1912430547
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101272212 Issued in VA
Practice address
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone
(240) 686-2300
NPI assigned
Apr 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0103074 MD
Emergency Medicine Physician 207P00000X A193061 CA
Emergency Medicine Physician 207P00000X 0101272212 VA Primary

Addresses

Primary practice location

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762

Mailing address

305 Skyhill Rd
Alexandria, VA 22314-4917
Phone (571) 215-2254

Other practice location 1

845 15th St Ste 103
San Diego, CA 92101-8098
Phone (571) 364-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, TX, CA4 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
I20210811003449 VA Practitioner - Emergency Medicine 3779987862 Reassigns benefits to 3 organizations
I20210811004442 DC Practitioner - Emergency Medicine 3779987862 Reassigns benefits to 3 organizations
I20240111001376 TX Practitioner - Emergency Medicine 3779987862 Reassigns benefits to 1 organization
I20241127001454 CA Practitioner - Emergency Medicine 3779987862

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Eastern Virginia Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Emergency Medicine Services of VA LLCGroup PAC ID 6103291430, 38 clinicians

Practice addresses (Care Compare)

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500

2041 Georgia Ave NW Vituity
Washington, DC 20060-0001
Phone (202) 865-6926

5005 Plank Rd
Fredericksburg, VA 22407-6646
Phone (540) 736-6900

Hospital & facility affiliations

  • Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0103074MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Aug 1, 2021 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince May 19, 2025 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 14, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 14, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jul 6, 2025 Accepting new patients
Emergency Medicine Services of VA, LLC Emergency Medicine CurrentSince Dec 17, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1702 US Highway 181
Portland, TX 78374
Phone (361) 761-2273

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

5005 Plank Rd
Fredericksburg, VA 22407
Phone (540) 736-6900

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

Interoperability endpoints

  • Direct secure messaging: nshukur75742@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: nshukur4717133@direct.trinity-health.org
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 11

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1912430547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SKYHILL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144917",
            "telephone_number": "571-215-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SPOTSYLVANIA PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087762",
            "telephone_number": "240-686-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 15th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921018098",
            "country_code": "US",
            "telephone_number": "571-364-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKUR",
        "first_name": "NEBIYU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0103074",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A193061",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101272212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.