DR. SANDOR SHAWN NIEMANN (MD) – Family Medicine Physician, NPI 1861484461

DR. SANDOR SHAWN NIEMANN (MD) is a healthcare provider. based in Centreville, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 0101050091 (VA). The NPI Number for DR. SANDOR SHAWN NIEMANN (MD) is 1861484461

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANDOR SHAWN NIEMANN (MD)
NPI
1861484461
Phone
(703) 266-2442
Address
5645 STONE RD
Enumeration Date
19 August 2005
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
7032662442
Graduation Year
1992 (34 years ago)
PAC ID
5092083766
Group Practice PAC ID
5193624773
Professional Enrollment ID
I20170621001961
Address ID
VA201201618CE5645XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

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Provider Addresses for DR. SANDOR SHAWN NIEMANN (MD)

  • 5645, Stone Road, Centreville, Virginia, 20120, United States

    CENTREVILLE, VA 201201618

    Phone: (703) 266-2442

    Fax: (703) 266-7158

    Mailing address matches the actual address.

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: 2017-06-21

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
I20170621001961IFamily PracticeDCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes225134$0
99214Established patient office or other outpatient visit, 30-39 minutes11972$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6767$0
99495Transitional care management services for problem of at least moderate complexity3834$0
G0008Administration of influenza virus vaccine3737$0
View full utilization report →

Insurance plans in this area (ZIP 20120)

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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: 5193624773View full group profile
NameSpecialtyState
Family PracticeVA
Nurse PractitionerVA
Family PracticeVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What is the registry number for DR. SANDOR SHAWN NIEMANN (MD)?
The registry entry for DR. SANDOR SHAWN NIEMANN (MD) shows NPI 1861484461.
Does the public listing show DR. SANDOR SHAWN NIEMANN (MD) as active?
DR. SANDOR SHAWN NIEMANN (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. SANDOR SHAWN NIEMANN (MD)'s listing?
DR. SANDOR SHAWN NIEMANN (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SANDOR SHAWN NIEMANN (MD)?
DR. SANDOR SHAWN NIEMANN (MD) is associated with Centreville, Virginia in the same public data insurers reference.
Why is information missing for DR. SANDOR SHAWN NIEMANN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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