Individual provider Active NPI

Shubhra Saksena, M.D.

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1891865473
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101233251 Issued in VA
Practice address
13135 Lee Jackson Memorial Hwy
Ste 202
Fairfax, VA 22033-1907
Phone
(703) 385-6789
Fax
(703) 352-9409
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101233251 VA Primary

Addresses

Primary practice location

13135 Lee Jackson Memorial Hwy
Ste 202
Fairfax, VA 22033-1907

Mailing address

13135 Lee Jackson Memorial Hwy
Ste 202
Fairfax, VA 22033-1907

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
I20070913000844 DC Practitioner - Family Practice 2961397203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13135 Lee Jackson Memorial Hwy
Suite 202
Fairfax, VA 22033-1907

13135 Route 50
Suite 202
Fairfax, VA 22033-1907
Phone (703) 429-2901

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Healthcare Systems Inc CurrentSince Jun 14, 2018 Accepting new patients

Locations

13135 Route 50
Ste 202
Fairfax, VA 22033
Phone (703) 385-6789

Interoperability endpoints

  • Direct secure messaging: shubhra.saksena@pfp-va.direct.office.nextgen.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1891865473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY",
            "address_2": "STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY",
            "address_2": "STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-385-6789",
            "fax_number": "703-352-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKSENA",
        "first_name": "SHUBHRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101233251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.