SHAHAB M EHTESHAM (MD) – Internal Medicine Physician, NPI 1144283029

SHAHAB M EHTESHAM (MD) is a healthcare provider. based in Harrisonburg, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 32845 (KY). The NPI Number for SHAHAB M EHTESHAM (MD) is 1144283029

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
SHAHAB M EHTESHAM (MD)
NPI
1144283029
Phone
(540) 564-5666
Address
1790 E Market St Ste 64B
Enumeration Date
11 April 2006
Last Update Date
21 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064303500
Graduation Year
1989 (37 years ago)
PAC ID
9133025778
Group Practice PAC ID
6709790157
Professional Enrollment ID
I20031212000281
Address ID
KY415011689PI911XXRDXX301

Contacts

Secure Messaging
sehtesham46242@PIKEVILLEKYDIRECT.ORG
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

4,930 INTERNAL MEDICINE in VA

Provider Addresses for SHAHAB M EHTESHAM (MD)

  • 1790 E Market St Ste 64B

    Harrisonburg, VA 228015197

    Phone: (540) 564-5666

    Fax: (844) 501-7984

    Type: Location

  • 911 Bypass Rd Bldg A

    Pikeville, KY 415011602

    Phone: (606) 430-3500

    Fax: (606) 218-4697

    Type: Location

  • PO BOX 386

    WISE, VA 24293

    Phone: (276) 679-4200

    Fax: (276) 679-4230

    Type: Mailing

  • Trent Street, Mount Pleasant, Norton, Stockton-on-Tees, Tees Valley, England, TS20 2DP, United Kingdom

    NORTON, VA 242731533

    Phone: (276) 679-4200

    Fax: (276) 679-4230

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2004-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20031212000281IInternal MedicineKYTBD
I20040311001019IInternal MedicineVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes158130$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes108103$0
99213Established patient office or other outpatient visit, 20-29 minutes4945$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3030$0
99495Transitional care management services for problem of at least moderate complexity1818$0
View full utilization report →

Insurance plans in this area (ZIP 22801)

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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: 6709790157View full group profile
NameSpecialtyState
-KY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Hematology/Oncology, Internal MedicineKY
-KY
Physician AssistantKY
Critical Care (Intensivists)OH
Emergency MedicineOH
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

Is there an official ID for SHAHAB M EHTESHAM (MD) in U.S. healthcare records?
The official identifier for SHAHAB M EHTESHAM (MD) is NPI 1144283029.
Is SHAHAB M EHTESHAM (MD) still an active registrant?
SHAHAB M EHTESHAM (MD) carries an active NPI according to the public dataset.
What expertise is attributed to SHAHAB M EHTESHAM (MD)?
SHAHAB M EHTESHAM (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Virginia is SHAHAB M EHTESHAM (MD) registered?
Use Harrisonburg, Virginia as the headline location for SHAHAB M EHTESHAM (MD) here.
When was this NPI issued?
Enumeration for SHAHAB M EHTESHAM (MD) is noted as April 11, 2006 where the registry provides it.

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