Ravi Vijay Shamaiengar (NPI# 1164433405, PAC ID# 4688758030) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1164433405 |
| PAC ID by PECOS | 4688758030 |
| Professional Enrollment ID | I20111221000196 |
| Full Name | Ravi Vijay Shamaiengar |
| Organization Legal Name | TIDEWATER DIAGNOSTIC IMAGING LTD |
| Address |
100 Sentara Cir Williamsburg VA 23188-5713 |
| Phone Number | 7579847911 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2769463702 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490066 | SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER |
| 490093 | SENTARA CAREPLEX HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490052 | RIVERSIDE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3000 Coliseum Dr, Hampton, VA 23666-5963 | 7577361621 | TIDEWATER DIAGNOSTIC IMAGING LTD |
| 100 Sentara Cir, Williamsburg, VA 23188-5713 | 7579847911 | TIDEWATER DIAGNOSTIC IMAGING LTD |
| Organization Legal Name | TIDEWATER DIAGNOSTIC IMAGING LTD |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Baogang J Xu | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Steven M Hall | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Kevin K Woisard | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Edward Tindal Trapani | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Joshua Forrest Stephenson | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Chadwick Mills | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Bennie A Skinner | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Melinda Martin Dunn | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| James F Primich | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Nirjhor Sayed Bhowmik | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Street Address |
100 SENTARA CIR |
| City | WILLIAMSBURG |
| State | VA |
| Zip | 23188-5713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albagir M Alarabi | Internal Medicine | Sentara Medical Group | 100 Sentara Cir, Suite 2c, Williamsburg, VA 23188-5713 |
| Troy W Thompson | Hospitalist | Sentara Medical Group | 100 Sentara Cir, Suite 2c, Williamsburg, VA 23188-5713 |
| Steven M Hall | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Sarah Mary Verga | Hospice/palliative Care | Sentara Medical Group | 100 Sentara Cir, Suite 3, Williamsburg, VA 23188-5713 |
| Leul A Mulugeta | Hospitalist | Sentara Medical Group | 100 Sentara Cir, Suite 2c, Williamsburg, VA 23188-5713 |
| Elena M Tilly | Internal Medicine | Sentara Medical Group | 100 Sentara Cir, Suite 2c, Williamsburg, VA 23188-5713 |
| Kevin K Woisard | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Alan Swinger | Anesthesiology | Virginia Anesthesia and Perioperative Care Specialists LLC | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Lisa Merrill | Hospitalist | Sentara Medical Group | 100 Sentara Cir, Suite 2c, Williamsburg, VA 23188-5713 |
| Jill Marie Hilburger | Anesthesiology | Virginia Anesthesia and Perioperative Care Specialists LLC | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina M D'amico | Clinical Social Worker | 151 Kristiansand Dr, 104a, Williamsburg, VA 23188-1013 | |
| Earl W Flora | Psychologist, Clinical | 3305 Poplar Creek Ln, Williamsburg, VA 23188-1058 | |
| Artie Wilding | Chiropractic | 129 Devon Rd, Williamsburg, VA 23188-1541 | |
| Krista M Pine | Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| Matthew Joseph Jaeger | Family Medicine | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 | |
| Hasmukh A Vyas | Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| Norriece Liana Gibson | Geriatric Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| Margaret A Loew-cooney | Clinical Social Worker | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| David R Barley | Optometry | 731 E Rochambeau Dr, Williamsburg, VA 23188-2187 | |
| Dennis Gesualdi | Chiropractic | 3204 Ironbound Rd, Suite A, Williamsburg, VA 23188-2410 | |
| Find all physicians in zip 23188 | |||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WILLIAMSBURG + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Ravi Vijay Shamaiengar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.