Individual provider Active NPI

Shweta Bansil, MD

  • Pediatric Hematology & Oncology Physician
  • Fairfax, VA
National Provider Identifier
1568826188
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
MD048659 Issued in DC
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

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012001172 DC Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 1254679095 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048659DCMDPediatric Hematology & Oncology Physician
0101277596VAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital CurrentSince Sep 26, 2023 Accepting new patients
Children'S Hospital CurrentSince Sep 26, 2023 Accepting new patients
Children'S Hospital Current Accepting new patients
Pediatric Specialists of Virginia, LLC CurrentSince Jun 24, 2026 Accepting new patients
Inova Health Care Services PastSince Jul 16, 2023 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

  • Direct secure messaging: sbansil1159304@soc.inova.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.