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

Individual provider Internal Medicine Physician · NPI 1336380633

Dr. Lellise Taye Shewakena, MD is an Internal Medicine in Virginia Beach, Virginia. Qualified in 2002, 24 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
24
Licensed in
VA
In the registry since
2009
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

1060 First Colonial Rd
Virginia Beach, VA 23454-3002
Phone: (757) 395-8000
Fax: (757) 340-4278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101247521 (VA)

Record details

NPI number1336380633
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2009
Last updated in NPPESJune 13, 2021
Certification dateJune 13, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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