Active NPI
Shwetha Thukuntla, M.D
- Endocrinology, Diabetes & Metabolism Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0101267551
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, VA
- 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
- Endocrinology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Inova Alexandria Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101267551 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Internal Medicine | Current | 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
- 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.
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.