Active NPI
Renu Sharaf Mansukhani, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Fairfax, VA
National Provider Identifier
1801042791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0101230546
- Practice address
- 3028 Javier Rd Ste 400
Fairfax, VA 22031-4622 - Phone
- (703) 776-1780
- Fax
- (571) 295-7114
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101230546 | VA | Primary |
Addresses
Primary practice location
3028 Javier Rd Ste 400
Fairfax, VA 22031-4622
Mailing address
3028 Javier Rd Ste 400
Fairfax, VA 22031-4622
Phone (703) 776-1780
Other names 1
- Renu Narain Sharaf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 12, 2018 through Mar 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101230546 | VA | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1801042791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 JAVIER RD STE 400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314622",
"telephone_number": "703-776-1780",
"fax_number": "571-295-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3028 JAVIER RD STE 400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314622",
"telephone_number": "703-776-1780",
"fax_number": "571-295-7114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSUKHANI",
"first_name": "RENU",
"middle_name": "SHARAF",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "0101230546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENU",
"last_name": "SHARAF",
"middle_name": "NARAIN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fairfax, VA
- Anup Manoharan, M.D.
- Manor Care-Fair Oaks of Fairfax VA LLC (ProMedica Skilled Nursing and Rehabilitation (Fair Oaks))
- Sandra M Mansfield, LCSW
- Max Manson
- Darlene Mansoor, M.D.
- Diane Mantos, RN, BSN, CCM
- Mantra Mental Health PLLC
- Alison Beth Mantua, PA-C
- Aileen Marie Mapalo, OT
- Maple Chiropractic & Acupuncture Clinic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.