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SHANE RAY RAMBO MD
NPI 1912700170
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since March 31, 2025PECOS Enrolled
1215 LEE ST BOX 800710, CHARLOTTESVILLE, VA 22908(434) 982-0629(434) 982-0019 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shane Ray Rambo Md NPPES

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

SHANE RAY RAMBO MD (NPI 1912700170) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912700170
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHANE RAY RAMBOCredential: MD
Location Address1215 LEE ST BOX 800710Charlottesville, VA 22908-0816
Mailing Address1215 Lee St Box 800710Charlottesville, VA 22908-0816 · (434) 982-0629 · Fax (434) 982-0019
Phone(434) 982-0629
Fax(434) 982-0019
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1912700170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE ST BOX 800710, Charlottesville, VA 22908
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Ray Rambo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY K LYNCH M.D.
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800710
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-0629
ZACHARY CAMERON COX
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800710
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-0629
HUGH JEFFERY LANIER JR. MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800710
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-0629
SHEDDIE GONZALEZ-CASTILLO MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800710
CHARLOTTESVILLE, VA 22908
Charlottesville City (859) 323-6162
SAMANTHA PAGE KARKLINS
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800710
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-0629
HEEHO KIM M.D.
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800710
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-0629
BENJAMIN AGNOR
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800710
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-0629
MANAL FASIH
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800710
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-0629

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 Shane Rambo's NPI number?

The NPI number for Shane Rambo is 1912700170. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Shane Rambo located?

Shane Rambo practices at 1215 Lee St Box 800710, Charlottesville, VA 22908. The listed phone number is (434) 982-0629.

What is Shane Rambo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shane Rambo enrolled in Medicare?

Yes. Shane Rambo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Rambo was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.