Individual provider Active NPI

Shruti A Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vienna, VA
National Provider Identifier
1992187082
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301290 Issued in VA
Practice address
8320 Old Courthouse Rd Ste 401
Vienna, VA 22182-3848
Phone
(571) 619-8923
Fax
(877) 673-5259
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00341900 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301290 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X SC006651 PA

Addresses

Primary practice location

8320 Old Courthouse Rd Ste 401
Vienna, VA 22182-3848

Mailing address

8320 Old Courthouse Rd Ste 401
Vienna, VA 22182-3848
Phone (571) 619-8923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180716000842 NJ Practitioner - Podiatry 1850648379 Reassigns benefits to 2 organizations
I20200424001113 DC Practitioner - Podiatry 1850648379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8320 Old Courthouse Rd
Suite 401
Vienna, VA 22182-3848
Phone (908) 812-0565

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions14
Removal of nail tissue13
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301290VAMDFoot & Ankle Surgery Podiatrist
SC006651PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Active Orthopedics & Sports Medicine LLC CurrentSince Sep 1, 2018 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2019 Accepting new patients
Chesapeake Foot and Ankle Institute PLLC Foot & Ankle Surgery CurrentSince Nov 1, 2024 Accepting new patients
Active Orthopedics and Sports Medicine, LLC CurrentSince Sep 1, 2018 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2019 Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

440 Old Hook Rd
Fl 2
Emerson, NJ 07630

440 Old Hook Rd
Emerson, NJ 07630
Phone (201) 265-4400

25 Prospect Ave
Hackensack, NJ 07601
Phone (201) 343-2277

1111 Hudson St
Hoboken, NJ 07030
Phone (201) 942-9314

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

8320 Old Courthouse Rd
Ste 401
Vienna, VA 22182
Phone (571) 999-7973

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIGDD/Endpoint/ACIGDD
  • Direct secure messaging: spatel190100@ahs.direct-ci.com

Organizations & group practices 6

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1992187082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD STE 401",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823848",
            "telephone_number": "571-619-8923",
            "fax_number": "877-673-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD STE 401",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823848",
            "telephone_number": "571-619-8923",
            "fax_number": "877-673-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHRUTI",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00341900",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301290",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "SC006651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.