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

Victoria Rose Shada, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578096772

Victoria Rose Shada, MD is a Geriatric Medicine in Winston Salem, North Carolina. Graduated from Creighton University School of Medicine in 2017, 9 years ago. Practices with Carend Provider Group PA, a 25-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
9
Trained at
Creighton University School of Medicine
Licensed in
NC
In the registry since
2017
Specialties on file
2
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

1 Medical Center Blvd
Winston Salem, NC 27157-2134
Phone: (336) 713-8583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 S Kings Dr Fl 3, Charlotte, NC 28207-2134 — (704) 446-1241

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 2021-01393 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578096772
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2017
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

Medicare enrollment

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

Medicare specialtyGERIATRIC MEDICINE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Carend Provider Group Pa — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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