Anish P Shah, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D0061027 Issued in MD

Practice address

14085 Crown CT
Woodbridge, VA 22193-1458

Phone

(703) 763-5224

Fax

(703) 763-5374

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in DC, VA, MD3 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 3

Specialty

Nephrology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Institute of Virginia LLCGroup PAC ID 4587832944, 10 clinicians

Metropolitan Vascular Institute LLCGroup PAC ID 6709139363, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.13 of 100Reported as group

Quality

95

Promoting interoperability

97

Improvement activities

40

Cost

68.34

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vascular Institute of Virginia LLC

  • Nephrology Physician
  • Woodbridge, VA
  • NPI 1942509989

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Metropolitan Vascular Institute LLC

  • Vascular & Interventional Radiology Physician
  • Waldorf, MD
  • NPI 1093294910

  DC, Nephrology

  Medicare reassignment NPD Authorized official
• Metropolitan Vascular Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Waldorf, MD
  • NPI 1871187245

  Nephrology

  Medicare reassignment NPD Authorized official
• Viv Fairfax, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fairfax, VA
  • NPI 1396327052
  NPD Authorized official
• American Access Care of Pennsylvania LLC

  • Vascular & Interventional Radiology Physician
  • Philadelphia, PA
  • NPI 1063487627
  NPD (past)
• American Access Care of Pennsylvania LLC

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1942516430
  NPD (past)
• Vascular Access Center of Prince Georges County LLC

  • Vascular & Interventional Radiology Physician
  • Landover, MD
  • NPI 1518996644

  Nephrology

  NPD (past)
• Vascular Access Center of Washington DC, LLC

  • Vascular & Interventional Radiology Physician
  • Washington, DC
  • NPI 1902835028

  Nephrology

  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1699790436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14085 CROWN CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931458",
            "telephone_number": "703-763-5224",
            "fax_number": "703-763-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14085 CROWN CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931458",
            "telephone_number": "703-763-5224",
            "fax_number": "703-763-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANISH",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0061027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BCBS",
            "identifier": "03010002",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038049200",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00376508",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR DC",
            "identifier": "P00422892",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410276200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BCBS",
            "identifier": "89511901",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fonda A. Settles
• Sevenfold Investment Group LLC
• Stephanie Asher Seymour, LCSW
• Dorothy Lorraine Shackleford
• Sara Shafqat, MD
• Darshna Shah
• Madeline Joy Shah, MSW
• Rakesh Kumar Shah, M.D.
• Tejas Jagdishchandra Shah, M.D.
• Naina Shahi-Virk, NP

• Nephrology Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.