DR. LELLISE TAYE SHEWAKENA MD
NPI 1336380633
Internal Medicine in Virginia Beach, VA

Active since March 16, 2009PECOS EnrolledAccepts Medicare Assignment
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454(757) 395-8000(757) 340-4278 Get Directions Write a Review

NPPES record last updated: June 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lellise Taye Shewakena Md NPPES

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

DR. LELLISE TAYE SHEWAKENA MD (NPI 1336380633) is an individual internal medicine provider in Virginia Beach, Virginia, licensed in Virginia (0101247521) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1336380633
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LELLISE TAYE SHEWAKENACredential: MD
Location Address1060 FIRST COLONIAL RDVirginia Beach, VA 23454-3002
Mailing Address1890 Metro Center DrReston, VA 20190-5222 · (703) 709-1667 · Fax (703) 709-1669
Fax(757) 340-4278
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 16, 2009
Last NPPES UpdateJune 13, 2021
NPPES CertifiedJune 13, 2021
NPI 1336380633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101247521
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.
1060 FIRST COLONIAL RD, Virginia Beach, VA 23454

Other Identifiers 1

Medicaid1336380633VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Lellise Taye Shewakena Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779617782
PECOS Enrollment IDI20131021001484
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services13 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23454 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.

Internal Medicine
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Internal Medicine
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Internal Medicine
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Radiology (Radiation Oncology)
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Pharmacist
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Nurse Practitioner (Acute Care)
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Anesthesiology
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Internal Medicine
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454

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 Lellise Shewakena's NPI number?

The NPI number for Lellise Shewakena is 1336380633. It was assigned to this individual provider in the NPPES registry on March 16, 2009.

Where is Lellise Shewakena located?

Lellise Shewakena practices at 1060 First Colonial Rd, Virginia Beach, VA 23454. The listed phone number is (757) 395-8000.

What is Lellise Shewakena's specialty?

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

Is Lellise Shewakena enrolled in Medicare?

Yes. Lellise Shewakena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lellise Shewakena was last updated on June 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.