Individual provider Active NPI

Shaveta Kotwal, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Ashburn, VA
National Provider Identifier
1841492733
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
0101244163 Issued in VA
Practice address
21170 Ashby Ponds Blvd.
Ashburn, VA 20147
Phone
(571) 291-6131
Fax
(571) 291-6135
NPI assigned
Jun 3, 2007
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2024-02927 NC
Internal Medicine Physician 207R00000X 0101244163 VA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0101244163 VA Primary

Addresses

Primary practice location

21170 Ashby Ponds Blvd.
Ashburn, VA 20147

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (571) 291-6131

Other practice location 1

2030 Windsor Run Ln
Matthews, NC 28105-0054
Phone (704) 443-6250

Other identifiers 4

IdentifierTypeStateIssuer
5374-0022OtherCAREFIRST BCBS
04-60195OtherEVERCARE
541908787004OtherTRICARE
1841492733OtherANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090310000106 VA Practitioner - Internal Medicine 2163588500 Reassigns benefits to 1 organization
I20241205000943 NC Practitioner - Internal Medicine 2163588500 Reassigns benefits to 1 organization
I20250618001677 DC Practitioner - Internal Medicine 2163588500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128
Phone (571) 291-6131

9805 Woodleigh Lane
Fairfax, VA 22032-4054
Phone (703) 259-9930

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101244163VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of North Carolina, PC Geriatric Medicine CurrentSince Oct 7, 2024 Accepting new patients
Erickson Health Medical Group of Virginia PC Internal Medicine CurrentSince May 30, 2025 Accepting new patients
Erickson Health Medical Group of Virginia PC Internal Medicine CurrentSince Sep 15, 2008 Accepting new patients
Erickson Health Medical Group of Virginia, PC Geriatric Medicine CurrentSince Sep 15, 2008 Accepting new patients

Locations

5525 Research Park Dr
Catonsville, MD 21228

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

2030 Windsor Run Ln
Matthews, NC 28105
Phone (704) 432-6250

21170 Ashby Ponds Blvd
Ashburn, VA 20147
Phone (571) 291-6131

7440 Spring Village Dr
Springfield, VA 22150
Phone (703) 923-4644

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Continuing Care at Ashby PondsAshburn, VA, CCN 495416 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 12, 2021
Mar 21, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1841492733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "571-291-6131",
            "fax_number": "571-291-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21170 ASHBY PONDS BLVD.",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "571-291-6131",
            "fax_number": "571-291-6135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 Windsor Run Ln",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281050054",
            "country_code": "US",
            "telephone_number": "704-443-6250",
            "fax_number": "704-443-6279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTWAL",
        "first_name": "SHAVETA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2024-02927",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101244163",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101244163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "5374-0022",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "04-60195",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541908787004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "1841492733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.