TONYA SHAH NP
NPI 1801244165
Nurse Practitioner - Family in Colonial Heights, VA

Q: What is Tonya Shah's NPI number?

The NPI number for Tonya Shah is 1801244165. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Q: What is Tonya Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tonya Shah was last updated on December 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 May 27, 2016PECOS EnrolledAccepts Medicare Assignment

445 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834(804) 520-1764 Get Directions Write a Review

NPPES record last updated: December 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2024, Oct 31, 2022, Sep 9, 2020 and 2 more (5 updates tracked since 2016).

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About Tonya Shah Np NPPES

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

TONYA SHAH NP (NPI 1801244165) is an individual family provider in Colonial Heights, Virginia, licensed in Virginia (0024173665) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Petersburg, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1801244165

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTONYA SHAHCredential: NP

Location Address445 CHARLES H DIMMOCK PKWY STE 100Colonial Heights, VA 23834-2990

Mailing Address445 Charles H Dimmock Pkwy Ste 100Colonial Heights, VA 23834-2990 · (804) 520-1764

Phone(804) 520-1764

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 27, 2016

Last NPPES UpdateDecember 7, 20245 updates tracked since enumeration

NPPES CertifiedDecember 7, 2024

✔ NPI 1801244165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024173665

445 CHARLES H DIMMOCK PKWY STE 100, Colonial Heights, VA 23834

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Secondary Practice Location 1

Location 1200 Medical Park BlvdPetersburg, VA 23805-9274 · Phone (804) 765-5000

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

Tonya Shah Np 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 ID8921392150

PECOS Enrollment IDI20160810001171

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 Reassignments

Medicare enrollment records show Tonya Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

James River Cardiology, LLC

Same address

Cardiovascular Disease

445 CHARLES H DIMMOCK PKWY STE 100
Colonial Heights, VA 23834

Reassigned Medicare billing, Virginia enrollment
46 clinicians in this Medicare group

NPI 1407157647 (804) 520-1764

Vmg Specialists PC

6.0 mi

Pulmonary Disease

601 OLD WAGNER RD, SUITE 102
Petersburg, VA 23805

Reassigned Medicare billing, Virginia enrollment
8 clinicians in this Medicare group

NPI 1295194983 (804) 524-2260

Vituity-Virginia Hospitalists PC

23 mi

Hospitalist

5801 BREMO RD
Richmond, VA 23226

Reassigned Medicare billing, Virginia enrollment
172 clinicians in this Medicare group

NPI 1518611011 (804) 285-2011

Alexandria Springfield Emergency Physicians PC

47 mi

Emergency Medicine

100 FAIRVIEW DR
Franklin, VA 23851

Reassigned Medicare billing, Virginia enrollment
219 clinicians in this Medicare group

NPI 1740529700 (844) 474-4019

Emergency Medicine Associates P.A., P.C.

89 mi

Internal Medicine

501 SUNSET LN
Culpeper, VA 22701

Reassigned Medicare billing, Virginia enrollment
1,294 clinicians in this Medicare group

NPI 1881559102 (540) 829-4100

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

216 services102 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

171 services87 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

117 services114 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

39 services39 patients

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.

19 services18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23834 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

95%305 patients4/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

83%320 patients4/55-star benchmark: 96%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

91%200 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

84%267 patients4/55-star benchmark: 99%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

3%118 patients1/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%267 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%267 patients1/55-star benchmark: 59%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers63 claims63 services$34.82 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers48 claims48 services$77.73 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers42 claims126 services$29.98 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers18 claims108 services$17.02 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

1 supplier12 claims68 services$12.43 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers31 claims31 services$50.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SAMI IBRAHIM

Internal Medicine (Clinical Cardiac Electrophysiology)