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MECHANICSVILLE MEDICAL CENTER FAMILY PHYSICIANS, P.L.L.C.
NPI 1386716249
Family Medicine in Mechanicsville, VA

Active since November 15, 2006CLIA 49D0226335 · Waiver
7571 COLD HARBOR RD, MECHANICSVILLE, VA 23111(804) 746-9055(804) 746-4476 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mechanicsville Medical Center Family Physicians, P.l.l.c. NPPES

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

MECHANICSVILLE MEDICAL CENTER FAMILY PHYSICIANS, P.L.L.C. (NPI 1386716249) is a healthcare organization registered as a family medicine in Mechanicsville, Virginia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Ronald R Eagle, Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1386716249
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMECHANICSVILLE MEDICAL CENTER FAMILY PHYSICIANS, P.L.L.C.
Location Address7571 COLD HARBOR RDMechanicsville, VA 23111-1631
Mailing Address7571 Cold Harbor RdMechanicsville, VA 23111-1631 · (804) 746-9055 · Fax (804) 746-4476
Phone(804) 746-9055
Fax(804) 746-4476
Organization SubpartNo
Authorized OfficialRonald R EagleFinancial Manager · (804) 746-9055
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386716249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
7571 COLD HARBOR RD, Mechanicsville, VA 23111
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mechanicsville Medical Center Family Physicians, P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mechanicsville Medical Center Family Physicians, P.L.L.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

John Cornett, M.D.
Family Practice
NPI 1609984418
7571 COLD HARBOR RD
Mechanicsville, VA 23111
(804) 746-9055
✔ PECOS✔ Accepts MedicareSame address
Ian Shupack, M.D.
Family Practice
NPI 1629186481
7571 COLD HARBOR RD
Mechanicsville, VA 23111
(804) 746-9055
✔ PECOS✔ Accepts MedicareSame address
Kevin Sahli, M.D.
Family Practice
NPI 1033227855
7571 COLD HARBOR RD
Mechanicsville, VA 23111
(804) 746-9055
✔ PECOS✔ Accepts MedicareSame address
Laura Burijon, M.D.
Family Practice
NPI 1275692212
2500 POCOSHOCK PL STE. 104
Richmond, VA 23235
(804) 276-9305
✔ PECOS✔ Accepts Medicare13 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0226335

Mechanicsville Medical Center · Mechanicsville, VA
Active · expires Feb 18, 2028
CLIA Number49D0226335
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorIan S. Shupak
Laboratory Phone(804) 746-9055
Laboratory LocationMechanicsville Medical Center7571 Cold Harbor Road, Mechanicsville, VA 23111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mechanicsville Medical Center Family Physicians, P.L.L.C.'s NPI number?

The NPI number for Mechanicsville Medical Center Family Physicians, P.L.L.C. is 1386716249. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Mechanicsville Medical Center Family Physicians, P.L.L.C. located?

Mechanicsville Medical Center Family Physicians, P.L.L.C. is located at 7571 Cold Harbor Rd, Mechanicsville, VA 23111. The listed phone number is (804) 746-9055.

What is Mechanicsville Medical Center Family Physicians, P.L.L.C.'s specialty?

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

Is Mechanicsville Medical Center Family Physicians, P.L.L.C. enrolled in Medicare?

Yes. Mechanicsville Medical Center Family Physicians, P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mechanicsville Medical Center Family Physicians, P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Family Practice, reassign their Medicare billing to Mechanicsville Medical Center Family Physicians, P.L.L.C.. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mechanicsville Medical Center Family Physicians, P.L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0226335) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mechanicsville Medical Center Family Physicians, P.L.L.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.