Individual provider Active NPI

Mitesh V Shah, D.O.

  • Nephrology Physician
  • Clinton, MD
National Provider Identifier
1649546995
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
H0083175 Issued in MD
Practice address
8926 Woodyard Rd Ste 602
Clinton, MD 20735-4235
Phone
(301) 868-9414
Fax
(301) 868-6055
NPI assigned
Mar 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0102204859 VA
Nephrology Physician 207RN0300X H0083175 MD Primary

Addresses

Primary practice location

8926 Woodyard Rd Ste 602
Clinton, MD 20735-4235

Mailing address

8926 Woodyard Rd Ste 602
Clinton, MD 20735-4235
Phone (301) 868-9414

Other practice location 1

8101 Hinson Farm Rd Ste 107
Alexandria, VA 22306-3400
Phone (703) 360-3100

Other practice location 2

3261 Old Washington Rd Ste 1020
Waldorf, MD 20602-3228
Phone (301) 868-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20170228000366 DC Practitioner - Internal MedicinePractitioner - Nephrology 1759665383 Reassigns benefits to 2 organizations
I20181114000881 MD Practitioner - NephrologyPractitioner - Internal Medicine 1759665383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metropolitan Nephrology Associates PCGroup PAC ID 3971567793, 10 clinicians

Practice addresses (Care Compare)

3261 Old Washington Rd
Suite 1020
Waldorf, MD 20602-3228
Phone (301) 868-4326

8926 Woodyard Rd
Suite 602
Clinton, MD 20735-4235
Phone (301) 868-9414

Hospital & facility affiliations

  • FMC - Fort Belvoir Dialysis facility, Alexandria, VA, CCN 492587
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0083175MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Nephrology Associates PC Nephrology CurrentSince Sep 5, 2017 Accepting new patients
Medical Faculty Associates, Inc Internal Medicine CurrentSince Dec 18, 2016 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

7801 Old Branch Ave
Ste 202
Clinton, MD 20735
Phone (202) 221-8442

8926 Woodyard Rd
Ste 602
Clinton, MD 20735
Phone (301) 868-9244

3261 Old Washington Rd
Ste 1020
Waldorf, MD 20602
Phone (301) 868-4326

2616 Sherwood Hall Ln
Ste 209
Alexandria, VA 22306
Phone (703) 360-3100

8101 Hinson Farm Rd
Ste 107
Alexandria, VA 22306
Phone (703) 224-9999

Interoperability endpoints

  • Direct secure messaging: mshah13940@direct.acumenmd.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1649546995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD STE 602",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354235",
            "telephone_number": "301-868-9414",
            "fax_number": "301-868-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD STE 602",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354235",
            "telephone_number": "301-868-9414",
            "fax_number": "301-868-6055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 Hinson Farm Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063400",
            "country_code": "US",
            "telephone_number": "703-360-3100",
            "fax_number": "703-360-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3261 Old Washington Rd Ste 1020",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206023228",
            "country_code": "US",
            "telephone_number": "301-868-4326",
            "fax_number": "301-637-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MITESH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0102204859",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "H0083175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.