Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ian S Shupack, MD

Individual provider Family Medicine Physician · NPI 1629186481

Dr. Ian S Shupack, MD is a Family Practice in Mechanicsville, Virginia. Graduated from Texas a & M University System, Hsc, College of Medicine in 1995, 31 years ago. Practices with Mechanicsville Medical Center Family Physicians, PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
31
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7571 Cold Harbor Rd
Mechanicsville, VA 23111-1631
Phone: (804) 746-9055
Fax: (804) 746-4476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101054440 (VA)

Record details

NPI number1629186481
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Mechanicsville Medical Center Family Physicians, P.L.L.C. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mechanicsville