Individual provider Active NPI

Anjali Shankar, MD

  • Psychiatry Physician
  • Reston, VA
National Provider Identifier
1386263549
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101281634 Issued in VA
Practice address
12007 Sunrise Valley Dr Ste 300
Reston, VA 20191-3446
Phone
(703) 215-8571
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101281634 VA Primary

Addresses

Primary practice location

12007 Sunrise Valley Dr Ste 300
Reston, VA 20191-3446

Mailing address

12007 Sunrise Valley Dr Ste 300
Reston, VA 20191-3446
Phone (703) 215-8571

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
I20240715000367 VA Practitioner - Psychiatry 6103242631 Reassigns benefits to 1 organization
I20241121000560 DC Practitioner - Psychiatry 6103242631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Florida International Univ, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

12007 Sunrise Valley Dr
Suite 300
Reston, VA 20191-3446
Phone (804) 207-6737

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Psychiatry CurrentSince Jul 1, 2024 Accepting new patients

Locations

1360 Beverly Rd
Ste 200
McLean, VA 22101
Phone (203) 246-9073

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

12007 Sunrise Valley Dr
Ste 300
Reston, VA 20191
Phone (571) 307-0422

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.anjalishankar@144557.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1386263549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913446",
            "telephone_number": "703-215-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913446",
            "telephone_number": "703-215-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKAR",
        "first_name": "ANJALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101281634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.