Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184611964 Individual Practitioner Male Practitioner

Dr. Samuel Mark Shor , MD

Internal Medicine • Reston, VA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Shor, MD is a registered healthcare professional specializing in Internal Medicine in Reston, VA. Official NPI practice address is registered at 1860 TOWN CENTER DR.

Practice Location & Contact Primary Location

Practice Address

1860 Town Center Dr
Suite 230

Reston, VA 201905896

Telephone 7037091119
Fax 7037097496
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Reston, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.7 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
61 Specialists

Practicing in Reston, VA (3758 Statewide)

Telehealth Adoption Rate
21.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 101036333

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ncppo Provider Number
504468 (VA)
Commercial Insurance / Payer ID Cigna Provider Number
745990 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Ogechi Anyaoku , MD

Internal Medicine

NPI 1205254422

Doctor of Medicine (M.D.)

Dr. Eboni Cornish , MD

General Acute Care Hospital

NPI 1891933131

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2012

Registered at 1860 TOWN CENTER DR, SUITE 230, RESTON, VA 201905896 (Tel: 7037091119)

📍
Updated Business Mailing Address January 05, 2012

Registered at 1860 TOWN CENTER DR, SUITE 230, RESTON, VA 201905896 (Tel: 7037091119)

👤
Provider Name / Credentials Updated January 05, 2012

Recorded as SAMUEL SHOR, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2012

Internal Medicine (License #101036333 in VA)

🟢
Initial NPI Registration & Enumeration October 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1184611964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2005
Last Update: January 05, 2012
Sole Proprietor: Yes

Mailing Address

1860 Town Center Dr, Suite 230

Reston, VA 201905896

Phone: 7037091119

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.