NPIMap

Individual provider Active NPI

Ira G. Shaywitz, M.D.

  • Diagnostic Radiology Physician
  • Roanoke, VA
National Provider Identifier
1932212214
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101253529 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7037
Fax
(540) 342-1757
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 238089 NY
Diagnostic Radiology Physician 2085R0202X 0101253529 VA Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

545 Elmont Rd
Elmont, NY 11003-4002
Phone (516) 354-4200

Other identifiers 1

IdentifierTypeStateIssuer
02728509MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ishaywitz52863@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000398 VA Practitioner - Diagnostic Radiology 4486660727 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

1 Health Cir
Lexington, VA 24450-2448
Phone (540) 462-1200

102 Highland Ave SE
Suite 404
Roanoke, VA 24013-2232
Phone (540) 985-9812

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000

388 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone (276) 988-8700

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238089NYMDDiagnostic Radiology Physician
0101253529VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Giles Community Hospital CurrentSince Mar 1, 2020 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Jul 1, 2013 Accepting new patients
Carilion Medical Center CurrentSince Jul 1, 2013 Accepting new patients
Carilion Giles Community Hospital Current Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Mar 1, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 1, 2013 Accepting new patients
Carilion Medical Center CurrentSince Jul 1, 2013 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 1, 2013 Accepting new patients
Carilion Giles Community Hospital CurrentSince Mar 1, 2020 Accepting new patients
Physicians of University Hospital, PC Past Accepting new patients
Carilion Medical Center Past Accepting new patients
Carilion Medical Center Past Accepting new patients
Verrazano Radiology Asociates, PC Diagnostic Radiology Past Accepting new patients
Brooklyn Radiology Services PC Diagnostic Radiology PastSince Jun 1, 2011 Accepting new patients
D.R. Rossi, M.D., P.C. Diagnostic Radiology Past Accepting new patients
Goethals Radiology PC Diagnostic Radiology Past Accepting new patients

Locations

150 Market Ridge Ln
Daleville, VA 24083
Phone (540) 966-0400

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

2001 Crystal Spring Ave SW
Ste 140
Roanoke, VA 24014
Phone (540) 981-7600

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

102 Highland Ave SE
Ste 404
Roanoke, VA 24013
Phone (540) 985-9812

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 11

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1932212214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034002",
            "telephone_number": "516-354-4200",
            "fax_number": "516-775-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7037",
            "fax_number": "540-342-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYWITZ",
        "first_name": "IRA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "238089",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101253529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02728509",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ishaywitz52863@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ishaywitz52863@direct.carilionclinic.org",
            "address_1": "1906 Belleview Ave SE",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240141838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.