Individual provider Active NPI

Shaveta Goyal, M.D.

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1215248109
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101261435 Issued in VA
Practice address
11211 Waples Mill Rd Ste 150
Fairfax, VA 22030-7414
Phone
(703) 592-4600
NPI assigned
Jun 25, 2010
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0081807 MD
Family Medicine Physician 207Q00000X 0101261435 VA Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 0101261435 VA

Addresses

Primary practice location

11211 Waples Mill Rd Ste 150
Fairfax, VA 22030-7414

Mailing address

2110 Gallows Rd Ste D
Vienna, VA 22182-3962
Phone (703) 592-4600

Other practice location 1

2110 Gallows Rd Ste D
Vienna, VA 22182-3962
Phone (703) 592-4600

Other practice location 2

46090 Lake Center Plz Ste 103-104
Sterling, VA 20165-5876
Phone (703) 592-4600

Other practice location 3

6203 Executive Blvd
North Bethesda, MD 20852-3906
Phone (703) 592-4600

Other practice location 4

3000 Connecticut Ave NW Ste 137
Washington, DC 20008-2683
Phone (703) 592-4600

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
I20170214002323 DC Practitioner - Family PracticePractitioner - General Practice 1254583040 Reassigns benefits to 3 organizations
I20180302001662 VA Practitioner - Family PracticePractitioner - General Practice 1254583040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Goyal Medpsych IncGroup PAC ID 3375978984, 25 clinicians

Practice addresses (Care Compare)

2110 Gallows Rd
Suite D
Vienna, VA 22182-3962
Phone (703) 592-4600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goyal Medpsych Inc CurrentSince Apr 1, 2023 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2018 Accepting new patients
Advanced Internal Medicine, Inc. CurrentSince Feb 18, 2020 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2018 Accepting new patients
Inova Health Care Services Current Accepting new patients

Locations

3000 Connecticut Ave NW
Ste 137
Washington, DC 20008
Phone (202) 234-3278

6203 Executive Blvd
Rockville, MD 20852
Phone (301) 340-1598

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

3930 Pender Dr
Ste 230
Fairfax, VA 22030
Phone (703) 620-6221

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

46090 Lake Center Plz
Ste 103104
Sterling, VA 20165
Phone (703) 592-4600

2110 Gallows Rd
Ste D
Vienna, VA 22182
Phone (703) 592-4600

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1215248109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 GALLOWS RD STE D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823962",
            "telephone_number": "703-592-4600",
            "fax_number": "703-592-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 WAPLES MILL RD STE 150",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307414",
            "telephone_number": "703-592-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 Gallows Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823962",
            "country_code": "US",
            "telephone_number": "703-592-4600",
            "fax_number": "703-592-4601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46090 Lake Center Plz Ste 103-104",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201655876",
            "country_code": "US",
            "telephone_number": "703-592-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6203 Executive Blvd",
            "address_purpose": "LOCATION",
            "city": "North Bethesda",
            "state": "MD",
            "postal_code": "208523906",
            "country_code": "US",
            "telephone_number": "703-592-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Connecticut Ave NW Ste 137",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200082683",
            "country_code": "US",
            "telephone_number": "703-592-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "SHAVETA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0081807",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101261435",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "VA",
            "license": "0101261435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.