Individual provider Active NPI

Rupa N. Shah, M.D.

  • Gastroenterology Physician
  • Alexandria, VA
National Provider Identifier
1740209147
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101246544 Issued in VA
Practice address
6354 Walker LN Ste 400
Alexandria, VA 22310-3252
Phone
(571) 472-7320
Fax
(571) 472-7321
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A 95548 CA
Gastroenterology Physician 207RG0100X 0101246544 VA Primary

Addresses

Primary practice location

6354 Walker LN Ste 400
Alexandria, VA 22310-3252

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

99 Montecillo Rd
Department of Gastroenterology
San Rafael, CA 94903-3308
Phone (415) 444-2291

Other practice location 2

3700 Joseph Siewick Dr Ste 308
Fairfax, VA 22033-1739
Phone (703) 698-8960

Other practice location 3

3028 Javier Rd Ste 500
Fairfax, VA 22031
Phone (703) 698-8960

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care Services 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960

8081 Innovation Park Dr
Fairfax, VA 22031-4867

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26
Upper gastrointestinal (GI) endoscopy for acid reflux11

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
I20100608000813 DC Practitioner - GastroenterologyPractitioner - Internal Medicine 9234160466 Reassigns benefits to 3 organizations
I20200828002516 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 9234160466 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 95548CAMDGastroenterology Physician
0101246544VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Current Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Dec 1, 2020 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Dec 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Oct 31, 2022 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

6354 Walker Ln
Ste 400
Alexandria, VA 22310
Phone (571) 472-7320

3301 Woodburn Rd
Ste 107
Annandale, VA 22003
Phone (703) 876-0437

3700 Joseph Siewick Dr
Ste 308
Fairfax, VA 22033
Phone (703) 716-8700

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

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

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

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

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: rshah26154@soc.inova.org

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1740209147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6354 WALKER LN STE 400",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103252",
            "telephone_number": "571-472-7320",
            "fax_number": "571-472-7321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Montecillo Rd",
            "address_2": "Department of Gastroenterology",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949033308",
            "country_code": "US",
            "telephone_number": "415-444-2291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Joseph Siewick Dr Ste 308",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331739",
            "country_code": "US",
            "telephone_number": "703-698-8960",
            "fax_number": "647-646-4744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3028 Javier Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "22031",
            "country_code": "US",
            "telephone_number": "703-698-8960",
            "fax_number": "571-494-5794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUPA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A 95548",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101246544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.