Active NPI
Mita D Shah, M.D
- Anesthesiology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101232722
- Practice address
- 10875 Main St Ste 105
Fairfax, VA 22030-4732 - Phone
- (703) 352-4121
- Fax
- (703) 352-4122
- NPI assigned
- Sep 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101232722 | VA | Primary |
Addresses
Primary practice location
10875 Main St Ste 105
Fairfax, VA 22030-4732
Mailing address
12932 Cedar Glen LN
Herndon, VA 20171-2951
Phone (703) 689-4933
Other practice location 1
19455 Deerfield Ave Ste 212
Lansdowne, VA 20176-8102
Phone (703) 723-3670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010253985 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Howard University College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
Hospital & facility affiliations
- Inova Fair Oaks Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101232722 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Dominion Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Virginia, PC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Anesthesiology | Current | Accepting new patients |
| Inova Cares - Community | Anesthesiology | Current | Accepting new patients |
| Safe Sedation, PLLC | Anesthesiology | Past | Accepting new patients |
| Faranak Ghalehbaghi PC | Past | Accepting new patients | |
| Washington Hospital Center Corp | Anesthesiology | Past | Accepting new patients |
| Loudoun Endoscopy Group, LLC | Past | Accepting new patients |
Locations
1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750
3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393
1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
Interoperability endpoints
- mshah729599@soc.inova.org
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Dentist
- Fairfax, VA
- NPI 1548359649
-
- Endoscopy Clinic/Center
- Lansdowne, VA
- NPI 1801962741
-
- Anesthesiology Physician
- Bethesda, MD
- NPI 1528071503
-
- Anesthesiology Physician
- Washington, DC
- NPI 1265452635
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1760584247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12932 CEDAR GLEN LN",
"city": "HERNDON",
"state": "VA",
"postal_code": "201712951",
"telephone_number": "703-689-4933",
"fax_number": "703-689-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10875 MAIN ST STE 105",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304732",
"telephone_number": "703-352-4121",
"fax_number": "703-352-4122"
}
],
"practiceLocations": [
{
"address_1": "19455 Deerfield Ave Ste 212",
"address_purpose": "LOCATION",
"city": "Lansdowne",
"state": "VA",
"postal_code": "201768102",
"country_code": "US",
"telephone_number": "703-723-3670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "MITA",
"middle_name": "D",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-03",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101232722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010253985",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.