Individual provider Active NPI

Pradnya P Shirsolkar, MD

  • Family Medicine Physician
  • South Riding, VA
National Provider Identifier
1093949422
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101251222 Issued in VA
Practice address
25055 Riding PLZ
Suite 220
South Riding, VA 20152-5917
Phone
(703) 722-5840
Fax
(703) 722-5821
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101251222 VA Primary

Addresses

Primary practice location

25055 Riding PLZ
Suite 220
South Riding, VA 20152-5917

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (703) 368-3161

Other identifiers 1

IdentifierTypeStateIssuer
1093949422MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20130620000593 VA Practitioner - Family Practice 0143474213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

24560 Southpoint Dr
Suite 220
Aldie, VA 20105-3505
Phone (571) 570-4300

46090 Lake Ctr PLZ
Suite 104
Sterling, VA 20165-5877
Phone (703) 421-1700

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

9625 Surveyor CT
Suite 100
Manassas, VA 20110-4408
Phone (703) 330-2233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101251222VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Ridge Family Medicine PLLC Family Medicine Current Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 19, 2019 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Nov 19, 2019 Accepting new patients
Valley Regional Enterprises, Inc CurrentSince May 5, 2013 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

24560 Southpoint Dr
Ste 220
Aldie, VA 20105
Phone (315) 601-0174

24560 Southpoint Dr
Ste 200
Aldie, VA 20105
Phone (315) 601-0174

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

15237 Creativity Dr
Culpeper, VA 22701
Phone (540) 321-4281

8644 Sudley Rd
#220
Manassas, VA 20110

46090 Lake Center Plz
Ste 104
Sterling, VA 20165
Phone (703) 229-2544

607 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2232

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pradnya.shirsolkar.1@8042.direct.athenahealth.com

Organizations & group practices 6

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1093949422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "703-368-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLZ",
            "address_2": "SUITE 220",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201525917",
            "telephone_number": "703-722-5840",
            "fax_number": "703-722-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRSOLKAR",
        "first_name": "PRADNYA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101251222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093949422",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Riding, VA

Sources for this page

Verify at the official NPI Registry.