Individual provider Active NPI

Jennifer A Shea, M.D.

  • Cardiovascular Disease Physician
  • Vienna, VA
National Provider Identifier
1730356916
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101253485 Issued in VA
Practice address
1900 Gallows Rd Ste 110
Vienna, VA 22182-4098
Phone
(703) 281-1265
Fax
(703) 255-0571
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101253485 VA Primary

Addresses

Primary practice location

1900 Gallows Rd Ste 110
Vienna, VA 22182-4098

Mailing address

2901 Telestar CT.
#300
Falls Church, VA 22042-1263
Phone (703) 591-1688

Other identifiers 1

IdentifierTypeStateIssuer
1730356916MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jshea65817@soc.inova.org

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
I20140228000607 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7315177870 Reassigns benefits to 2 organizations
I20160309002140 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7315177870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Arlington, VA 22201-5766

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

2901 Telestar CT
Falls Church, VA 22042-1260

2901 Telestar CT
Suite 200
Falls Church, VA 22042-1262
Phone (703) 573-3494

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

4320 Seminary Rd
Alexandria, VA 22304-1535

44035 Riverside Pkwy
Leesburg, VA 20176-8260

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

4660 Kenmore Ave
Alexandria, VA 22304-1306

4825 Mark Ctr Dr
Suite 150
Alexandria, VA 22311-1846
Phone (703) 751-8111

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 237-3446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101253485VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Feb 6, 2016 Accepting new patients
The Cardiovascular Group, PC Cardiovascular Disease CurrentSince Feb 1, 2016 Accepting new patients
Inova Health Care Services CurrentSince Feb 1, 2016 Accepting new patients
Inova Health Care Services CurrentSince Feb 1, 2016 Accepting new patients

Locations

2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688

2901 Telestar Ct
Ste 200
Falls Church, VA 22042
Phone (703) 573-3494

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176
Phone (703) 858-5421

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

120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664

130 Park St SE
Ste 100
Vienna, VA 22180
Phone (703) 281-1265

1900 Gallows Rd
Ste 110
Vienna, VA 22182
Phone (703) 281-1265

Interoperability endpoints

  • Direct secure messaging: jshea65817@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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1730356916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT.",
            "address_2": "#300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421263",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GALLOWS RD STE 110",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221824098",
            "telephone_number": "703-281-1265",
            "fax_number": "703-255-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101253485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730356916",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshea65817@soc.inova.org",
            "affiliation": "N",
            "address_1": "1900 Gallows Rd Ste 110",
            "city": "Vienna",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221824098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.