Individual provider Active NPI

Sushila Sheoran, M.D.

  • Pediatrics Physician
  • Rockville, MD
National Provider Identifier
1144384371
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0070001 Issued in MD
Practice address
11125 Rockville Pike
Ste 209
Rockville, MD 20852-3142
Phone
(301) 770-4669
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X D0070001 MD
Pediatrics Physician 208000000X D0070001 MD Primary

Addresses

Primary practice location

11125 Rockville Pike
Ste 209
Rockville, MD 20852-3142

Mailing address

12008 Titian Way
Potomac, MD 20854-3343
Phone (301) 251-2159

Other identifiers 1

IdentifierTypeStateIssuer
420573100MedicaidMD

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
I20120918000132 DC Practitioner - Pediatric Medicine 4486822186 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 1, 2021 Accepting new patients
Privia Care Center LLC Pediatrics CurrentSince Apr 3, 2024 Accepting new patients
Privia Care Center LLC Pediatrics CurrentSince Apr 3, 2024 Accepting new patients
Privia Medical Group, LLC Pediatrics CurrentSince Nov 1, 2021 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Calverthealth Medical Group, LLC Pediatrics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Privia Medical Group, LLC Pediatrics PastSince Jan 28, 2024 Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

10401 Old Georgetown Rd
Ste 200
Bethesda, MD 20814
Phone (240) 630-8882

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11125 Rockville Pike
Ste 209
Rockville, MD 20852
Phone (240) 880-2990

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

Interoperability endpoints

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

Organizations & group practices 8

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1144384371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12008 TITIAN WAY",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543343",
            "telephone_number": "301-251-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "STE 209",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-770-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEORAN",
        "first_name": "SUSHILA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0070001",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0070001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420573100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.