Individual provider Active NPI

Shawana Mufti, M.D.

  • Gynecology Physician
  • Fairfax, VA
National Provider Identifier
1023237997
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0101241302 Issued in VA
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

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000188 DC Practitioner - Obstetrics/Gynecology 1951576131 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
0101241302VAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Loudoun OBGYN, Inc Gynecology CurrentSince Jul 9, 2012 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services CurrentSince Nov 1, 2012 Accepting new patients
Inova Health Care Services CurrentSince Nov 1, 2012 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

  • FHIR API: https://api.platform.athenahealth.com/5652/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.