NPIMap

Individual provider Active NPI

Shalini Goyal Kaneriya, MD

  • Internal Medicine Physician
  • Herndon, VA
National Provider Identifier
1699833400
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101238937 Issued in VA
Practice address
2579 John Milton Dr Ste 300
Herndon, VA 20171-2500
Phone
(703) 828-0799
Fax
(571) 525-2963
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101238937 VA Primary

Addresses

Primary practice location

2579 John Milton Dr Ste 300
Herndon, VA 20171-2500

Mailing address

11444 Aidan Run CT
Great Falls, VA 22066-1391
Phone (703) 757-0615

Other practice location 1

3620 Joseph Siewick Dr
Suite 306
Fairfax, VA 22033-1756
Phone (703) 264-0521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000140 DC Practitioner - Internal Medicine 9032175088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifetime Internal Medicine, PLLCGroup PAC ID 6608111828, 3 clinicians

Practice addresses (Care Compare)

2579 John Milton Dr
Suite 300
Herndon, VA 20171-2500
Phone (703) 828-0799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.16 of 100Reported as group
Quality
67.59
Promoting interoperability
100
Improvement activities
40
Cost
72.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238937VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Fair Oaks Hospitalist Physicians, PLLC PastSince May 7, 2023 Accepting new patients
Mass General Brigham Community Physicians Inc Past Accepting new patients
Fair Oaks Emergency Physicians, PLLC Past Accepting new patients
Brigham & Womens Physicians Organization Inc Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18535/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shalini.kaneriya.1@18535.direct.athenahealth.com

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.

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1699833400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11444 AIDAN RUN CT",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661391",
            "telephone_number": "703-757-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 JOHN MILTON DR STE 300",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712500",
            "telephone_number": "703-828-0799",
            "fax_number": "571-525-2963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Joseph Siewick Dr",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331756",
            "country_code": "US",
            "telephone_number": "703-264-0521",
            "fax_number": "703-860-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANERIYA",
        "first_name": "SHALINI",
        "middle_name": "GOYAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101238937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.