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FATIMAT O SHOTANDE MD
NPI 1023646759
Internal Medicine in Roanoke, VA

Active since March 30, 2020PECOS Enrolled
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 224-4635 Get Directions Write a Review

NPPES record last updated: June 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2025, Feb 25, 2025, Mar 30, 2020 (3 updates tracked since 2020).

About Fatimat O Shotande Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FATIMAT O SHOTANDE MD (NPI 1023646759) is an individual internal medicine provider in Roanoke, Virginia, licensed in Nevada (27461) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023646759
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameFATIMAT O SHOTANDECredential: MD
Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Phone(540) 224-4635
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateJune 13, 20263 updates tracked since enumeration
NPPES CertifiedJune 13, 2026
✔ NPI 1023646759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NV · 27461✔ Licensed in VA · 0101283722
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License A199907 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1906 BELLEVIEW AVE SE, Roanoke, VA 24014
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Secondary Practice Locations 2

Location 112746 W Jefferson Blvd Ste 4000Playa Vista, CA 90094-2885 · Phone (424) 315-2202
Location 217 Davis Blvd Ste 308Tampa, FL 33606-3438 · Phone (813) 974-2201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fatimat O Shotande Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254868060
PECOS Enrollment IDI20260506003775, I20260622003197
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Fatimat Shotande reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Medical Center
Same address
Multi-Specialty
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
NPI 1730123472 (540) 981-7000
Openloop Healthcare Partners PC
790 mi
General Practice
317 6TH AVE STE 400
Des Moines, IA 50309
  • Reassigned Medicare billing, Florida enrollment
  • 33 clinicians in this Medicare group
NPI 1245820661 (573) 286-7212
Urgent Care Nevada, LLC
1,945 mi
Urgent Care
10652 S EASTERN AVE, SUITE A
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 107 clinicians in this Medicare group
NPI 1134546575 (702) 476-2800
Cedars-Sinai Medical Care Foundation
2,159 mi
Specialist
6500 WILSHIRE BLVD FL 15
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
NPI 1316984388 (310) 385-3200
Arctic Slope Native Association Ltd
3,519 mi
Critical Access
7000 UULA STREET
Barrow, AK 99723
  • Reassigned Medicare billing, Alaska enrollment
  • 118 clinicians in this Medicare group
NPI 1306933643 (907) 852-9201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN K THOMPSON PA-C, ATC
Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. JAMES LIGHT MD
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
SUJINA PRADHAN M.D.
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. SAMMY ZAKI ELSARRAG M.D.
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NIMA JAHROMI DO
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
TAYLOR ALEXIS KEYS
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NATHAN WILLIAM WAKEFIELD
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
ASHLYN BROOKE CONRAD
Nurse Practitioner
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fatimat Shotande's NPI number?

The NPI number for Fatimat Shotande is 1023646759. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Fatimat Shotande located?

Fatimat Shotande practices at 1906 Belleview Ave SE, Roanoke, VA 24014. The listed phone number is (540) 224-4635.

What is Fatimat Shotande's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fatimat Shotande enrolled in Medicare?

Yes. Fatimat Shotande is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fatimat Shotande's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fatimat Shotande reassigns Medicare benefits to 5 organizations: Carilion Medical Center (Roanoke, VA), Openloop Healthcare Partners PC (Des Moines, IA), Urgent Care Nevada, LLC (Henderson, NV), Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Arctic Slope Native Association Ltd (Barrow, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fatimat Shotande's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fatimat Shotande was last updated on June 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.