Individual provider Active NPI

Shriprakash Nandshankar Trivedi, MD

  • Internal Medicine Physician
  • Ashburn, VA
National Provider Identifier
1568532596
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101238017 Issued in VA
Practice address
22505 Landmark CT Ste 210
Ashburn, VA 20148-6500
Phone
(571) 612-6600
Fax
(571) 612-6601
NPI assigned
Nov 8, 2006
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101238017 VA Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 232770 NY
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 0101238017 VA
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 25MA07786000 NJ

Addresses

Primary practice location

22505 Landmark CT Ste 210
Ashburn, VA 20148-6500

Mailing address

22505 Landmark CT Ste 210
Ashburn, VA 20148-6500
Phone (571) 612-6600

Other practice location 1

1625 N George Mason Drive
Suite 425
Arlington, VA 22205-3686
Phone (703) 717-4400

Other identifiers 1

IdentifierTypeStateIssuer
2606164MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address strivedi62533@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

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
I20070914000200 DC Practitioner - Internal Medicine 4183674922 Reassigns benefits to 3 organizations
I20130211000310 VA Practitioner - Internal MedicinePractitioner - Family Practice 4183674922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
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)

6230 Rolling Rd
Suite Ij
Springfield, VA 22152-2307
Phone (571) 565-6460

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07786000NJMDAdolescent Medicine (Internal Medicine) Physician
232770NYMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC CurrentSince Feb 11, 2013 Accepting new patients
Fair Oaks Hospitalist Physicians, PLLC CurrentSince May 1, 2013 Accepting new patients
Inova Health Care Services CurrentSince Oct 10, 2017 Accepting new patients
Inova Health Care Services CurrentSince Oct 10, 2017 Accepting new patients
Inova Health Care Services Internal Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

22505 Landmark Ct
Ste 210
Ashburn, VA 20148
Phone (571) 612-6350

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

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

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

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: strivedi62533@soc.inova.org

Organizations & group practices 7

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1568532596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22505 LANDMARK CT STE 210",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201486500",
            "telephone_number": "571-612-6600",
            "fax_number": "571-612-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22505 LANDMARK CT STE 210",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201486500",
            "telephone_number": "571-612-6600",
            "fax_number": "571-612-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 N George Mason Drive",
            "address_2": "Suite 425",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222053686",
            "country_code": "US",
            "telephone_number": "703-717-4400",
            "fax_number": "703-717-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "SHRIPRAKASH",
        "middle_name": "NANDSHANKAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101238017",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NY",
            "license": "232770",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "VA",
            "license": "0101238017",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA07786000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2606164",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "strivedi62533@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "22505 Landmark Ct Ste 210",
            "city": "Ashburn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201486502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.