Individual provider Active NPI

Shivangi Vachhani, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Fairfax, VA
National Provider Identifier
1003105875
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101255671 Issued in VA
Practice address
3700 Joseph Siewick Dr Ste 408a
Fairfax, VA 22033-1745
Phone
(877) 511-4625
Fax
(703) 204-9006
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD041888 DC
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101255671 VA Primary

Addresses

Primary practice location

3700 Joseph Siewick Dr Ste 408a
Fairfax, VA 22033-1745

Mailing address

211 Gibson St NW Ste 220
Leesburg, VA 20176-2115
Phone (877) 511-4625

Other names 1

  • Shivangi Pandya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161024002095 DC Practitioner - EndocrinologyPractitioner - Internal Medicine 3779861844 Reassigns benefits to 1 organization
I20161025002412 VA Practitioner - EndocrinologyPractitioner - Internal Medicine 3779861844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD041888DCMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Nov 21, 2016 Accepting new patients
Inova Health Care Services CurrentSince Nov 21, 2016 Accepting new patients
Inova Health Care Services CurrentSince Nov 21, 2016 Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3700 Joseph Siewick Dr
Ste 408A
Fairfax, VA 22033
Phone (703) 391-3746

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

211 Gibson St NW
Ste 220
Leesburg, VA 20176
Phone (703) 799-5465

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: svachhani28464@soc.inova.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1003105875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GIBSON ST NW STE 220",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762115",
            "telephone_number": "877-511-4625",
            "fax_number": "703-669-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR STE 408A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331745",
            "telephone_number": "877-511-4625",
            "fax_number": "703-204-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHHANI",
        "first_name": "SHIVANGI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DC",
            "license": "MD041888",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101255671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIVANGI",
            "last_name": "PANDYA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.