Active NPI
Shawana Mufti, M.D.
- Gynecology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 0101241302
- Practice address
- 3930 Pender Dr, Suite 60
Fairfax, VA 22030-2917 - Phone
- (703) 539-8987
- Fax
- (703) 865-4167
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0101241302 | VA | Primary |
Addresses
Primary practice location
3930 Pender Dr, Suite 60
Fairfax, VA 22030-2917
Mailing address
3930 Pender Dr Ste 60
Fairfax, VA 22030-0991
Phone (703) 539-8987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3930 Pender Dr
Suite 60
Fairfax, VA 22030-0991
Phone (571) 249-0717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101241302 | VA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Loudoun OBGYN, Inc | Gynecology | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
3930 Pender Dr
Ste 60
Fairfax, VA 22030
Phone (571) 249-0717
3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Interoperability endpoints
- https://api.platform.athenahealth.com/5652/brand/1/csg/1/fhir/r4
- shawana.mufti.1@5652.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1023237997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 PENDER DR STE 60",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220300991",
"telephone_number": "703-539-8987",
"fax_number": "703-865-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 PENDER DR, SUITE 60",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302917",
"telephone_number": "703-539-8987",
"fax_number": "703-865-4167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUFTI",
"first_name": "SHAWANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "VA",
"license": "0101241302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.