Donald William Shenenberger, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101223955 Issued in VA

Practice address

11844 Rock Landing Dr
Suite B
Newport News, VA 23606

Phone

(757) 873-0161

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Family Practice

Education

University of South Carolina School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Dermatology Skin Cancer Surgery Center, IncGroup PAC ID 4486749223, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dshenenberger@directaddress.net
• Direct secure messaging: donald.shenenberger.1@17183.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peninsula Dermatology Skin Cancer Surgery Center, Inc

  dba Dermatology Specialists

  • Dermatology Physician
  • Newport News, VA
  • NPI 1063524593
  Medicare reassignment Care Compare group NPD
• Anne Arundel Dermatology LLC

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1063481703
  NPD
• Dr Jean M Clay, PC

  dba Commonwealth Foot Care, Inc

  • Durable Medical Equipment & Medical Supplies
  • Williamsburg, VA
  • NPI 1316113764
  NPD (past)
• Peninsula Dermatology Skin Cancer Surgery Center, Inc

  dba Dermatology Specialists

  • Dermatology Physician
  • Williamsburg, VA
  • NPI 1205993383
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Riverside Hospital Inc

  dba Riverside Regional Medical Center

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1366547747
  Care Compare affiliation

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1932168861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11844 ROCK LANDING DR STE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064206",
            "telephone_number": "757-873-0161",
            "fax_number": "757-873-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11844 ROCK LANDING DR",
            "address_2": "SUITE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-873-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENENBERGER",
        "first_name": "DONALD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101223955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshenenberger@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Peninsula Dermatology Skin Cancer Surgery Center, Inc",
            "address_1": "11844 Rock Landing Dr",
            "address_2": "Suite B",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ady Shea, LCSW
• Sadie Francene Sheafe, PHD, LCSW
• Jessica Michelle Sheffield
• Adam Shelton, PHARMD
• Meredith Shelton, MD
• Glenn Harvey Shepard, M.D.
• Martha C Shephard, ANP
• William Lee Shephard
• Katherine Nicole Hill Sheppard, MSN, APRN, AGCNS-BC
• Shields Podiatry LLC

• Dermatology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.

Verify at the official NPI Registry.