Individual provider Active NPI

Shalinee Khurana, MD

  • Developmental - Behavioral Pediatrics Physician
  • Fairfax, VA
National Provider Identifier
1104010289
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
0101257030 Issued in VA
Practice address
3023 Hamaker CT Ste 300
Fairfax, VA 22031-2240
Phone
(703) 876-2788
Fax
(571) 405-5730
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X MD042508 DC
Developmental - Behavioral Pediatrics Physician 2080P0006X 0101257030 VA Primary

Addresses

Primary practice location

3023 Hamaker CT Ste 300
Fairfax, VA 22031-2240

Mailing address

3023 Hamaker CT Ste 300
Fairfax, VA 22031-2240
Phone (703) 876-2788

Other practice location 1

111 Michigan Ave NW
Washington, DC 20010-2916
Phone (202) 476-5000

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
I20150327000250 DC Practitioner - Pediatric Medicine 0244557411 Reassigns benefits to 3 organizations
I20151120001949 VA Practitioner - Pediatric Medicine 0244557411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101257030VAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Apr 24, 2023 Accepting new patients
Inova Health Care Services CurrentSince Apr 23, 2023 Accepting new patients
Children'S Hospital CurrentSince Dec 4, 2019 Accepting new patients
Inova Health Care Services CurrentSince Apr 23, 2023 Accepting new patients
Pediatric Specialists of Virginia, LLC CurrentSince Jan 17, 2015 Accepting new patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince Dec 4, 2019 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

111 Michigan Ave NW
Ste 4838
Washington, DC 20010

3023 Hamaker Ct
Ste 300
Fairfax, VA 22031
Phone (703) 848-6627

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

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

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

14904 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 492-6660

Interoperability endpoints

  • Direct secure messaging: skhurana155406@soc.inova.org

Organizations & group practices 7

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1104010289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312240",
            "telephone_number": "703-876-2788",
            "fax_number": "571-405-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312240",
            "telephone_number": "703-876-2788",
            "fax_number": "571-405-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Michigan Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102916",
            "country_code": "US",
            "telephone_number": "202-476-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "SHALINEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "DC",
            "license": "MD042508",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "VA",
            "license": "0101257030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.