Tejas Jagdishchandra Shah, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101235482 Issued in VA

Practice address

4331 Ridgewood Center Dr
Woodbridge, VA 22192-5308

Phone

(703) 580-0124

Fax

(703) 580-0126

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• North Virginia Family Practice PC

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1417112236
  Medicare reassignment NPD Authorized official
• Urgent Care Hayfield

  • Legal Medicine
  • Alexandria, VA
  • NPI 1871784496
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1881752145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11681 SPRINGWOODS DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925570",
            "telephone_number": "703-580-0124",
            "fax_number": "703-580-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 RIDGEWOOD CENTER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925308",
            "telephone_number": "703-580-0124",
            "fax_number": "703-580-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TEJAS",
        "middle_name": "JAGDISHCHANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101235482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010093139",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Shafqat, MD
• Anish P Shah, MD
• Darshna Shah
• Madeline Joy Shah, MSW
• Rakesh Kumar Shah, M.D.
• Naina Shahi-Virk, NP
• Afsaneh Samatha Shahidi, DDS
• Randa Shakashiro
• Ujjwal Shakya, D.P.T
• Ashish Gajanan Shanbhag, M.D.

• Family Medicine Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.

Verify at the official NPI Registry.