Active NPI
Shweta Bansil, MD
- Pediatric Hematology & Oncology Physician
- Fairfax, VA
National Provider Identifier
1568826188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- MD048659
- Practice address
- 8081 Innovation Park Dr Ste 765
Fairfax, VA 22031-4867 - Phone
- (571) 472-1717
- NPI assigned
- Apr 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 0101277596 | VA | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | MD048659 | DC | Primary |
Addresses
Primary practice location
8081 Innovation Park Dr Ste 765
Fairfax, VA 22031-4867
Mailing address
16616 Heartwood Dr
Derwood, MD 20855-1628
Other practice location 1
525 E 68th St
Room M-610
New York, NY 10065-4870
Phone (212) 746-3970
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD048659 | DC | MD | Pediatric Hematology & Oncology Physician |
| 0101277596 | VA | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Pediatric Specialists of Virginia, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
8081 Innovation Park Dr
Ste 765
Fairfax, VA 22031
Phone (571) 472-1717
Interoperability endpoints
- sbansil1159304@soc.inova.org
- shweta.bansil@chn.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1699119818
-
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1568826188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16616 HEARTWOOD DR",
"city": "DERWOOD",
"state": "MD",
"postal_code": "208551628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8081 INNOVATION PARK DR STE 765",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314867",
"telephone_number": "571-472-1717"
}
],
"practiceLocations": [
{
"address_1": "525 E 68th St",
"address_2": "ROOM M-610",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100654870",
"country_code": "US",
"telephone_number": "212-746-3970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANSIL",
"first_name": "SHWETA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-09",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "VA",
"license": "0101277596",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "DC",
"license": "MD048659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.