Individual provider Active NPI

Mudit Sharma, MD

  • Neurological Surgery Physician
  • Manassas, VA
National Provider Identifier
1285700369
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101241433 Issued in VA
Practice address
9625 Surveyor Court
Suite 320
Manassas, VA 20110
Phone
(571) 921-4877
Fax
(571) 208-0585
NPI assigned
Nov 28, 2006
Last updated
May 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD035546 DC
Neurological Surgery Physician 207T00000X 0101241433 VA Primary

Addresses

Primary practice location

9625 Surveyor Court
Suite 320
Manassas, VA 20110

Mailing address

9625 Surveyor Court
Suite 320
Manassas, VA 20110
Phone (571) 921-4877

Other identifiers 2

IdentifierTypeStateIssuer
MD035546OtherDCMEDICAL LICENSE
0101241433OtherVAMEDICAL LICENSE

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
I20070807000242 DC Practitioner - Neurosurgery 8820199144 Reassigns benefits to 1 organization
I20080319000214 VA Practitioner - Neurosurgery 8820199144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4604 Spotsylvania Pkwy
Suite 345
Fredericksburg, VA 22408-7767
Phone (571) 921-4877

8650 Sudley Rd
Suite 315
Manassas, VA 20110-4416

9625 Surveyor CT
Suite 320
Manassas, VA 20110-4408

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as individual
Quality
68.21
Improvement activities
40
Cost
87.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion454
Laminectomy or laminotomy (partial removal of spine bones)26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD035546DCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Spine Specialists, PLLC Neurological Surgery CurrentSince Apr 15, 2012 Accepting new patients
Virginia Spine Specialists, PLLC Neurological Surgery CurrentSince Apr 12, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nova Advanced Pain Management PLLC Neurological Surgery Past Accepting new patients

Locations

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

4604 Spotsylvania Pkwy
Ste 300
Fredericksburg, VA 22408
Phone (540) 423-6600

4604 Spotsylvania Pkwy
Ste 345
Fredericksburg, VA 22408
Phone (540) 498-4000

8650 Sudley Rd
Ste 315
Manassas, VA 20110
Phone (703) 690-2442

9625 Surveyor Ct
Ste 320
Manassas, VA 20110
Phone (571) 208-0585

24430 Stone Springs Blvd
Ste 250
Sterling, VA 20166
Phone (571) 248-0653

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIBJAD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1285700369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 SURVEYOR COURT",
            "address_2": "SUITE 320",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "571-921-4877",
            "fax_number": "571-208-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 SURVEYOR COURT",
            "address_2": "SUITE 320",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "571-921-4877",
            "fax_number": "571-208-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "MUDIT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "DC",
            "license": "MD035546",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101241433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD035546",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0101241433",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.