Individual provider Active NPI

Anita Shabnam Chatman, MD, MPH

  • Family Medicine Physician
  • Stone Ridge, VA
National Provider Identifier
1730187642
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101052287 Issued in VA
Practice address
42010 Village Center PLZ
Suite # 100
Stone Ridge, VA 20105-3032
Phone
(703) 542-7921
Fax
(703) 542-7931
NPI assigned
Jul 13, 2005
Last updated
Sep 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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 0101052287 VA Primary

Addresses

Primary practice location

42010 Village Center PLZ
Suite # 100
Stone Ridge, VA 20105-3032

Mailing address

42010 Village Center PLZ
Suite # 100
Stone Ridge, VA 20105-3032
Phone (703) 542-7921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20051013000971 VA Practitioner - Family Practice 7214952647 Reassigns benefits to 2 organizations
I20120417000409 DC Practitioner - Family Practice 7214952647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

6201 Centreville Rd
Suite 200
Centreville, VA 20121-2626
Phone (571) 549-8577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101052287VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baby Doc Inc CurrentSince Nov 1, 2020 Accepting new patients
Inova Ucc LLC CurrentSince Oct 30, 2023 Accepting new patients

Locations

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

11700 Sudley Manor Dr
Manassas, VA 20109
Phone (703) 589-9695

42010 Village Center Plz
Ste 100
Stone Ridge, VA 20105
Phone (703) 542-7921

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Interoperability endpoints

  • Direct secure messaging: achatman1259632@soc.inova.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1730187642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42010 VILLAGE CENTER PLZ",
            "address_2": "SUITE # 100",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201053032",
            "telephone_number": "703-542-7921",
            "fax_number": "703-542-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42010 VILLAGE CENTER PLZ",
            "address_2": "SUITE # 100",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201053032",
            "telephone_number": "703-542-7921",
            "fax_number": "703-542-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMAN",
        "first_name": "ANITA",
        "middle_name": "SHABNAM",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101052287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Ridge, VA

Sources for this page

Verify at the official NPI Registry.