SHENANDOAH MEMORIAL HOSPITAL, INC. – Surgery Physician, NPI 1407357015
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHENANDOAH MEMORIAL HOSPITAL, INC.
1840 Amherst St
Winchester, VA 226012808
Phone: (540) 536-8000
Type: Location
1000 N Shenandoah Ave
Front Royal, VA 226303547
Phone: (540) 636-0300
Type: Location
200 Memorial Dr
Luray, VA 228351000
Phone: (540) 743-4561
Type: Location
200, Campus Boulevard, Winchester, Frederick County, Virginia, 22601, United States
WINCHESTER, VA 226012889
Phone:
Type: Mailing
Shenandoah Memorial Hospital, 759, South Main Street, Woodstock, Shenandoah County, Virginia, 22664, United States
WOODSTOCK, VA 226641154
Phone: (540) 459-1100
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: 2018-04-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180430001662 | O | Clinic/Group Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22601)
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