Individual provider Active NPI

Shephali Kantilal Ranpuria, MD

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1679646368
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4909 Issued in TX
Practice address
1915 I St NW Ste 700
Washington, DC 20006-2120
Phone
(202) 251-7541
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M4909 TX Primary

Addresses

Primary practice location

1915 I St NW Ste 700
Washington, DC 20006-2120

Mailing address

8501 Wedderburn Station Dr
Vienna, VA 22180-6875
Phone (713) 689-9634

Other identifiers 1

IdentifierTypeStateIssuer
211943001MedicaidTX

Other names 1

  • Shephali Patel Former name

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
I20110817000353 DC Practitioner - Family Practice 6901903814 Reassigns benefits to 3 organizations
I20160801000691 VA Practitioner - Family Practice 6901903814 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4909TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jul 11, 2016 Accepting new patients
Inova Health Care Services CurrentSince Jul 11, 2016 Accepting new patients
Alexandria Health Care Center, PLLC CurrentSince Jun 1, 2011 Accepting new patients
Medical Associates of Northern VA Inc CurrentSince Jun 1, 2011 Accepting new patients
City of Austin Past Accepting new patients
Medmark Services Inc Past Accepting new patients

Locations

6303 Little River Tpke
Ste 160
Alexandria, VA 22312
Phone (703) 476-0901

5249 Duke St
Ste 100
Alexandria, VA 22304
Phone (703) 370-2814

611 S Carlin Springs Rd
Ste 504
Arlington, VA 22204
Phone (703) 998-6666

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

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

Organizations & group practices 6

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1679646368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 WEDDERBURN STATION DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806875",
            "telephone_number": "713-689-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 I ST NW STE 700",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200062120",
            "telephone_number": "202-251-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANPURIA",
        "first_name": "SHEPHALI",
        "middle_name": "KANTILAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211943001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEPHALI",
            "last_name": "PATEL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.