Individual provider Active NPI

Nehal Rajendra Shah, DO

  • Dermatology Physician
  • Alexandria, VA
National Provider Identifier
1376006742
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0102207797 Issued in VA
Practice address
1900 N Beauregard St Ste 110
Alexandria, VA 22311-1716
Phone
(703) 212-7546
NPI assigned
Apr 11, 2019
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 25MB11303400 NJ
Dermatology Physician 207N00000X 0102207797 VA Primary

Addresses

Primary practice location

1900 N Beauregard St Ste 110
Alexandria, VA 22311-1716

Mailing address

1900 N Beauregard St Ste 110
Alexandria, VA 22311-1716
Phone (703) 212-7546

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
I20230707000024 DC Practitioner - Dermatology 2567821606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexandria Associates in Dermatology, PCGroup PAC ID 8820181365, 4 clinicians

Practice addresses (Care Compare)

2900 S Quincy St
Suite 210
Arlington, VA 22206-9907
Phone (703) 212-7546

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
74.5
Promoting interoperability
94
Improvement activities
40
Cost
96.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions566
Removal or shaving of skin growth1-10
Skin biopsy173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB11303400NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Associates in Dermatology, PC Dermatology CurrentSince Jun 15, 2023 Accepting new patients
Center for Vein Restoration MD LLC PastSince Jun 4, 2023 Accepting new patients

Locations

1900 N Beauregard St
Ste 110
Alexandria, VA 22311
Phone (703) 212-7546

2900 S Quincy St
Ste 210
Arlington, VA 22206
Phone (703) 212-7546

Organizations & group practices 2

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": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1376006742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N BEAUREGARD ST STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111716",
            "telephone_number": "703-212-7546",
            "fax_number": "703-212-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N BEAUREGARD ST STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111716",
            "telephone_number": "703-212-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEHAL",
        "middle_name": "RAJENDRA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB11303400",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102207797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.