Individual provider Active NPI

Shwetha Thukuntla, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Fairfax, VA
National Provider Identifier
1952563785
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101267551 Issued in VA
Practice address
2740 Prosperity Ave Ste 200
Fairfax, VA 22031
Phone
(877) 511-4625
Fax
(703) 204-9006
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101267551 VA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X P2383 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101267551 VA Primary

Addresses

Primary practice location

2740 Prosperity Ave Ste 200
Fairfax, VA 22031

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

2660 Gulf Fwy S Ste 9
League City, TX 77573-6820
Phone (832) 505-2300

Other practice location 2

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other practice location 3

8100 Boone Blvd Ste 700
Tysons, VA 22182-2683
Phone (703) 531-2269

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sthukuntla642687@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191010003021 DC Practitioner - EndocrinologyPractitioner - Internal Medicine 1153546833 Reassigns benefits to 1 organization
I20191023002122 VA Practitioner - Endocrinology 1153546833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

211 Gibson St NW
Leesburg, VA 20176-2115
Phone (877) 511-4625

3300 Gallows Rd
Falls Church, VA 22042-3307

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101267551VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Aug 16, 2019 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Aug 16, 2019 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

2740 Prosperity Ave
Ste 200
Fairfax, VA 22031
Phone (703) 208-2273

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

211 Gibson St NW
Leesburg, VA 20176
Phone (703) 777-2101

8100 Boone Blvd
Ste 700
Vienna, VA 22182
Phone (571) 423-5699

Interoperability endpoints

  • Direct secure messaging: sthukuntla642687@soc.inova.org

Organizations & group practices 3

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 3

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1952563785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 PROSPERITY AVE STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "877-511-4625",
            "fax_number": "703-204-9006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2660 Gulf Fwy S Ste 9",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775736820",
            "country_code": "US",
            "telephone_number": "832-505-2300",
            "fax_number": "281-337-0805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 Boone Blvd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Tysons",
            "state": "VA",
            "postal_code": "221822683",
            "country_code": "US",
            "telephone_number": "703-531-2269",
            "fax_number": "703-531-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THUKUNTLA",
        "first_name": "SHWETHA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101267551",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "P2383",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101267551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sthukuntla642687@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2740 Prosperity Ave Ste 200",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.