Christopher Shayne James, MD
Family Medicine in Rockville, MD. Individual provider (NPI-1).
NPI number1104572056
StatusActive
Last updated in NPPESMar 1, 2022
Details
- NPI
- 1104572056
- Entity type
- Individual (NPI-1)
- Name
- Christopher Shayne James
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2022
- Certification date
- Mar 1, 2022
- Last updated
- Mar 1, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 254772 | NY | Yes |
Practice location
9704 Medical Center DrRockville, MD 20850-3343
Phone 301-251-5172
Mailing address
603 W 148th St Apt 4New York, NY 10031-3134
Phone 917-882-6506
Other practice locations
603 W 148th St Apt 4
New York, NY 10031-3134
New York, NY 10031-3134
Phone 917-882-6506
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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