Active NPI
Munira Shodikulova, MD
- Internal Medicine Physician
- Sterling, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101264351
- Practice address
- 20935 Sandian Ter
Sterling, VA 20165-5859 - Phone
- (571) 234-3290
- NPI assigned
- Apr 13, 2015
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101264351 | VA | Primary |
Addresses
Primary practice location
20935 Sandian Ter
Sterling, VA 20165-5859
Mailing address
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Other practice location 1
327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, WV
- 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
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443
Hospital & facility affiliations
- Berkeley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101264351 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of West Virginia- TCG PLLC | Single Specialty | Current | Accepting new patients |
| City Hospital Inc | Single Specialty | Current | Accepting new patients |
| Fair Oaks Hospitalist Physicians, PLLC | Single Specialty | Current | Accepting new patients |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Single Specialty | Current | Accepting new patients |
| City Hospital, Inc. | Internal Medicine | Current | Accepting new patients |
| City Hospital, Inc | Past | Accepting new patients |
Locations
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Fairfax, VA
- NPI 1275601205
DC, Single Specialty
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1386122844
Single Specialty
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1649575101
Single Specialty
-
- Internal Medicine Physician
- Ranson, WV
- NPI 1336657493
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539993600000",
"number": "1881080166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 BEACH 19TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20935 SANDIAN TER",
"city": "STERLING",
"state": "VA",
"postal_code": "201655859",
"telephone_number": "571-234-3290"
}
],
"practiceLocations": [
{
"address_1": "327 Beach 19th St",
"address_purpose": "LOCATION",
"city": "Far Rockaway",
"state": "NY",
"postal_code": "116914423",
"country_code": "US",
"telephone_number": "718-869-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHODIKULOVA",
"first_name": "MUNIRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2018-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101264351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.
- 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.