Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Roddy Shaver, MD

Individual provider Surgery Physician · NPI 1417950981

Dr. Timothy Roddy Shaver, MD is a General Surgery in Reston, Virginia. Qualified in 1982, 44 years ago. Practices with Dhhs Phs Naihs Chinle Comprehensive Health Care Facility, a 165-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
44
Licensed in
VA
In the registry since
2005
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

1860 Town Center Dr Ste 440
Reston, VA 20190-5908
Phone: (571) 554-8950
Fax: (571) 554-8951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101049305 (VA)

Record details

NPI number1417950981
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Dhhs Phs Naihs Chinle Comprehensive Health Care Facility — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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