Active NPI
Shaveta Kotwal, MD
- Geriatric Medicine (Internal Medicine) Physician
- Ashburn, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 0101244163
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5374-0022 | Other | CAREFIRST BCBS | |
| 04-60195 | Other | EVERCARE | |
| 541908787004 | Other | TRICARE | |
| 1841492733 | Other | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101244163 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erickson Health Medical Group of North Carolina, PC | Geriatric Medicine | Current | Accepting new patients |
| Erickson Health Medical Group of Virginia PC | Internal Medicine | Current | Accepting new patients |
| Erickson Health Medical Group of Virginia PC | Internal Medicine | Current | Accepting new patients |
| Erickson Health Medical Group of Virginia, PC | Geriatric Medicine | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Continuing Care at Ashby Ponds | 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.
-
dba Continuing Care at Ashby Ponds
- Skilled Nursing Facility
- Ashburn, VA
- NPI 1871831222
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Ashburn, VA
- NPI 1871759340
-
- Internal Medicine Physician
- Springfield, VA
- NPI 1609896489
DC
-
- Geriatric Medicine (Internal Medicine) Physician
- Matthews, NC
- NPI 1396241030
-
- Geriatric Medicine (Internal Medicine) Physician
- Fairfax, VA
- NPI 1992575872
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Continuing Care at Ashby Ponds
- Skilled Nursing Facility
- Ashburn, VA
- NPI 1871831222
Nursing home
-
- Community Based Hospice Care Agency
- Falls Church, VA
- NPI 1568485894
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Community Based Hospice Care Agency
- Reston, VA
- NPI 1427432624
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.