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SHIM ROH MD
NPI 1184312464
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 25, 2023PECOS Enrolled
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-5214(434) 243-9143 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shim Roh Md NPPES

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

SHIM ROH MD (NPI 1184312464) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0101289309) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184312464
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHIM ROHCredential: MD
Location Address1215 LEE STCharlottesville, VA 22908-0818
Mailing Address1215 Lee StCharlottesville, VA 22908-0818 · (434) 924-5214 · Fax (434) 243-9143
Phone(434) 924-5214
Fax(434) 243-9143
Sole ProprietorNo
Enumeration DateApril 25, 2023
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1184312464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in VA · 0101289309
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE ST, Charlottesville, VA 22908
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shim Roh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

NORMA BRANHAM R.N., N.P.
Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2047
FARNAZ M GAZONI MD
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
MARGARET K. SANDE M.D.
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2231
KATHERINE T, FORKIN M.D.
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
AMBER N. INOFUENTES M.D.
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-4288
JOY R MILLER PNP
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-2617
DR. DARREN GUFFEY M.D.
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
SETH MORRISON MD
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-3627

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 Shim Roh's NPI number?

The NPI number for Shim Roh is 1184312464. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Shim Roh located?

Shim Roh practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-5214.

What is Shim Roh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shim Roh enrolled in Medicare?

Yes. Shim Roh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shim Roh was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.