Individual provider Active NPI

Shevel Santanya Dacosta, MD

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1881336477
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD600004187 Issued in DC
Practice address
2639 Connecticut Ave NW Ste C100
Washington, DC 20008-1593
Phone
(202) 588-1878
Fax
(301) 417-4948
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD600004187 DC Primary

Addresses

Primary practice location

2639 Connecticut Ave NW Ste C100
Washington, DC 20008-1593

Mailing address

15245 Shady Grove Rd Ste 340
Rockville, MD 20850-7201
Phone (301) 869-9776

Other practice location 1

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250820003607 DC Practitioner - Internal Medicine 4587164041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776

2639 Connecticut Ave NW
Suite C100
Washington, DC 20008-1593
Phone (301) 869-9776

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD600004187DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Primary Care and Associates LLC Multi-Specialty CurrentSince Sep 15, 2025 Accepting new patients

Locations

2639 Connecticut Ave NW
Ste C100
Washington, DC 20008
Phone (202) 265-4111

15245 Shady Grove Rd
Ste 340
Rockville, MD 20850

15245 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (667) 303-1042

15825 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (301) 519-2118

Interoperability endpoints

  • Direct secure messaging: shevel.dacosta@cpcl.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1881336477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 340",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507201",
            "telephone_number": "301-869-9776",
            "fax_number": "301-417-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 CONNECTICUT AVE NW STE C100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081593",
            "telephone_number": "202-588-1878",
            "fax_number": "301-417-4948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Pennsylvania Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200373201",
            "country_code": "US",
            "telephone_number": "202-741-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACOSTA",
        "first_name": "SHEVEL",
        "middle_name": "SANTANYA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD600004187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.