Individual provider Active NPI

Sushma Sanjay Hirani, M.D.

  • Adult Medicine Physician
  • Oakton, VA
National Provider Identifier
1336119189
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0101240095 Issued in VA
Practice address
2944 Hunter Mill Rd
Suite 101
Oakton, VA 22124-1761
Phone
(571) 529-6699
Fax
(571) 210-4099
NPI assigned
Jan 24, 2006
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 0101240095 VA Primary

Addresses

Primary practice location

2944 Hunter Mill Rd
Suite 101
Oakton, VA 22124-1761

Mailing address

2944 Hunter Mill Rd
Suite 101
Oakton, VA 22124-1761
Phone (571) 529-6699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 28, 2017 through Feb 28, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101240095VAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1336119189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 HUNTER MILL RD",
            "address_2": "SUITE 101",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241761",
            "telephone_number": "571-529-6699",
            "fax_number": "571-210-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 HUNTER MILL RD",
            "address_2": "SUITE 101",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241761",
            "telephone_number": "571-529-6699",
            "fax_number": "571-210-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRANI",
        "first_name": "SUSHMA",
        "middle_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101240095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakton, VA

Sources for this page

Verify at the official NPI Registry.