Individual provider Active NPI

Sangeetha Shan-Bala, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Falls Church, VA
National Provider Identifier
1356471676
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
0101241278 Issued in VA
Practice address
3300 Gallows Rd Dept of
Falls Church, VA 22042
Phone
(703) 776-3582
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101241278 VA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 010124278 VA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0101241278 VA Primary

Addresses

Primary practice location

3300 Gallows Rd Dept of
Falls Church, VA 22042

Mailing address

3300 Gallows Rd Dept of
Falls Church, VA 22042-3307
Phone (703) 776-3582

Other identifiers 4

IdentifierTypeStateIssuer
5374-0021OtherBCBS OF DC
04-53885OtherEVERCARE
1356471676OtherANTHEM BCBS
541908787001OtherTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20070525000446 VA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0941307904 Reassigns benefits to 1 organization
I20080808000211 DC Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0941307904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

7115 Leesburg Pike
Suite 211
Falls Church, VA 22043-2301
Phone (571) 766-6490

Hospital & facility affiliations

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
0101241278VAMDInternal Medicine Physician
010124278VAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Internal Medicine CurrentSince May 23, 2016 Accepting new patients
Inova Health Care Services CurrentSince May 23, 2016 Accepting new patients
Alinkz Inc Geriatric Medicine CurrentSince Sep 1, 2023 Accepting new patients
Nova Medical and Urgent Care Center, Inc. Internal Medicine Past Accepting new patients

Locations

21785 Filigree Ct
Ste 203
Ashburn, VA 20147
Phone (703) 554-1100

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

7115 Leesburg Pike
Ste 211
Falls Church, VA 22043
Phone (571) 766-6490

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

7440 Spring Village Dr
Springfield, VA 22150
Phone (703) 923-4644

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 3

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1356471676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD DEPT OF",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD DEPT OF",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22042",
            "telephone_number": "703-776-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAN-BALA",
        "first_name": "SANGEETHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101241278",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "010124278",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101241278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC",
            "identifier": "5374-0021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "04-53885",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "1356471676",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541908787001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.