CAROLE ASSAAD SHADDAD M.D.
NPI 1750611919
Internal Medicine in Springfield, VA
About Carole Assaad Shaddad M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLE ASSAAD SHADDAD M.D. (NPI 1750611919) is an individual internal medicine provider in Springfield, Virginia, licensed in Virginia (0101248874) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
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
Carole Assaad Shaddad M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Carole Shaddad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1972275196 (Virginia)
- 2,492 clinicians in this Medicare group
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 22150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SPRINGFIELD, VA 22150
SPRINGFIELD, VA 22150
SPRINGFIELD, VA 22150
SPRINGFIELD, VA 22150
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 Carole Shaddad's NPI number?
The NPI number for Carole Shaddad is 1750611919. It was assigned to this individual provider in the NPPES registry on January 10, 2010.
Where is Carole Shaddad located?
Carole Shaddad practices at 6501 Loisdale Ct Kaiser Permanente Springfield Medical Center, Springfield, VA 22150. The listed phone number is (703) 922-1000.
What is Carole Shaddad's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Carole Shaddad enrolled in Medicare?
Yes. Carole Shaddad 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.
Which organization bills Medicare for Carole Shaddad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carole Shaddad reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA). The 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 Carole Shaddad'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 Carole Shaddad was last updated on June 7, 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.
# Carole Assaad Shaddad, M.D. · NPI 1750611919
Internal Medicine physician in Springfield, Virginia. Individual provider, active in the CMS NPPES registry since January 10, 2010.
## Identity
- **NPI:** 1750611919 (Entity type: Individual)
- **Enumerated:** January 10, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101248874 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6501 LOISDALE CT, KAISER PERMANENTE SPRINGFIELD MEDICAL CENTER, Springfield, VA 22150-1826
- **Phone:** (703) 922-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** June 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1750611919) · Data from the CMS NPPES public registry.