DR. SHADI NAKHLA (M.D.) – Internal Medicine Physician, NPI 1134414196

DR. SHADI NAKHLA (M.D.) is a healthcare provider. based in Kingsport, Tennessee. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101255095 (VA). The NPI Number for DR. SHADI NAKHLA (M.D.) is 1134414196

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHADI NAKHLA (M.D.)
NPI
1134414196
Phone
(423) 408-7220
Address
105 W STONE DR
Enumeration Date
17 June 2011
Last Update Date
22 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4238577000
Graduation Year
1995 (31 years ago)
PAC ID
0941426365
Group Practice PAC ID
3678859477
Professional Enrollment ID
I20160115000743
Address ID
TN378572407RO851XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

4,934 INTERNAL MEDICINE in VA

Provider Addresses for DR. SHADI NAKHLA (M.D.)

  • 105 W STONE DR

    SUITE 6A

    KINGSPORT, TN 376603365

    Phone: (423) 408-7220

    Fax: (423) 408-7405

    Type: Mailing

  • 310 3RD ST NE

    NORTON, VA 242731137

    Phone: (276) 679-9100

    Fax: (276) 679-6738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160115000743IInternal MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making9076$0
99285Emergency department visit with high level of medical decision making8676$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6961$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3130$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 37660)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678859477View full group profile
NameSpecialtyState
-VA
Family PracticeTN
Family Practice, Emergency MedicineTN
Emergency MedicineTX
Emergency MedicineTN
-TN
Emergency MedicineTN
-TN
Emergency Medicine, Emergency Medicine, General PracticeTN
-TN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find DR. SHADI NAKHLA (M.D.)'s NPI?
You can confirm DR. SHADI NAKHLA (M.D.) with NPI 1134414196; it appears in the national provider directory.
Is DR. SHADI NAKHLA (M.D.)'s NPI currently valid?
The extract we use shows DR. SHADI NAKHLA (M.D.) as active.
Does DR. SHADI NAKHLA (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. SHADI NAKHLA (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SHADI NAKHLA (M.D.)?
The page summarizes Kingsport, Tennessee for DR. SHADI NAKHLA (M.D.); expand the address list for detail.
How can I contact DR. SHADI NAKHLA (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

Unknown Individual

Endocrinology, Diabetes & Metabolism Physician
4 SHERIDAN SQ STE 200
NPI: 1124021290
2033 MEADOWVIEW LN
NPI: 1477556157

DR. JUDITH WHITE (MD)

Internal Medicine Physician
Kingsport, Sullivan County, Tennessee, United States
NPI: 1316940018

MR. RICHARD WARREN DICKSON (D.O.)

Internal Medicine Physician
2033 MEADOWVIEW LANE
NPI: 1326040643

ANTHONY EVERHART (MD)

Internal Medicine Physician
Kingsport, Sullivan County, Tennessee, United States
NPI: 1972505279

DR. ERIC SCHWARTZ (MD)

Internal Medicine Physician
Kingsport, Sullivan County, Tennessee, United States
NPI: 1508868720

DR. JEWEL JOHNNY WHITE (MD)

Internal Medicine Physician
Kingsport, Sullivan County, Tennessee, United States
NPI: 1871595058

RICK WHILES (MD)

Internal Medicine Physician
Kingsport, Sullivan County, Tennessee, United States
NPI: 1013911874

SUSAN BOCCAROSSA (MD)

Internal Medicine Physician
Kingsport, Sullivan County, Tennessee, United States
NPI: 1861496622