MAHMETHAN M SHADID MD
NPI 1356978456
Family Medicine in South Hill, VA

Q: What is Mahmethan Shadid's NPI number?

The NPI number for Mahmethan Shadid is 1356978456. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Mahmethan Shadid's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mahmethan Shadid was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970(434) 584-5540(434) 774-2401 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2025, Jun 26, 2024, Mar 28, 2020 (3 updates tracked since 2020).

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About Mahmethan M Shadid Md NPPES

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

MAHMETHAN M SHADID MD (NPI 1356978456) is an individual family medicine provider in South Hill, Virginia, licensed in Virginia (0101284925) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and maintains a secondary practice location in New Franklin.

NPPES Registry Identity

NPI1356978456

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMAHMETHAN M SHADIDCredential: MD

Location Address1755 N MECKLENBURG AVESouth Hill, VA 23970-4080

Mailing AddressPo Box 932909Cleveland, OH 44193-2909 · (330) 854-4281 · Fax (330) 854-0032

Phone(434) 584-5540

Fax(434) 774-2401

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2019

Enumeration DateMarch 26, 2020

Last NPPES UpdateApril 7, 20253 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1356978456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in VA · 0101284925✔ Licensed in OH · 35.149844

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1755 N MECKLENBURG AVE, South Hill, VA 23970

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Secondary Practice Location 1

Location 15147 Manchester RdNew Franklin, OH 44319-3911 · Phone (330) 644-3747 · Fax (330) 644-9815

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mahmethan M Shadid 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 ID4385087410

PECOS Enrollment IDI20250417001774

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 Reassignment

Medicare enrollment records show Mahmethan Shadid reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcv Associated Physicians

66 mi

Anesthesiology

1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298

Reassigned Medicare billing, Virginia enrollment
2,481 clinicians in this Medicare group

NPI 1710959457 (804) 828-8707

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

Areas of Expertise CMS Part B claims 3

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services53 patients

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.

35 services27 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490098

Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23970 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

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.

SINDHUJA KOPPU

Internal Medicine