MR. KHALID MAHDI SHUMBURO (M.D.) – Nephrology Physician, NPI 1952379737
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
332 NEPHROLOGY in VA
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Provider Addresses for MR. KHALID MAHDI SHUMBURO (M.D.)
13135, Lee Jackson Memorial Highway, Greenbriar, Chantilly, Fairfax County, Virginia, 22033, United States
#135
FAIRFAX, VA 220331907
Phone: (703) 961-0488
Fax: (703) 961-0480
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)
CMS reports 16 Open Payments records for all available years, with a total value of $361.
Total Amount is formed as General ($361) + Research ($0) + Ownership ($0) = $361.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($121).
Total Amount
$361
General + Research + Ownership
Payments
16
Total payment records
General Amount
$361
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
1
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-04-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040126000285 | I | Nephrology | DC | TBD |
| I20060418000422 | I | Nephrology | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 792 | 225 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 481 | 251 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 176 | 27 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 163 | 52 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 116 | 79 | $0 |
Insurance plans in this area (ZIP 22033)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | VA | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 183 | 64 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | TX | |
| N E P H R O L O G Y | VA | |
| N E P H R O L O G Y | VA | |
| N E P H R O L O G Y | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Internal Medicine, Nephrology | MD | |
| N E P H R O L O G Y | VA | |
| N E P H R O L O G Y | AZ |
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