Active NPI
Nathan R Shapiro, M.D
- Internal Medicine Physician
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101244821
- Practice address
- 8525 Rolling Rd
Suite 222
Manassas, VA 20110-3647 - Phone
- (703) 334-0720
- Fax
- (703) 334-0750
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 148475 | NY | |
| Internal Medicine Physician | 207R00000X | 0101244821 | VA | Primary |
Addresses
Primary practice location
8525 Rolling Rd
Suite 222
Manassas, VA 20110-3647
Mailing address
8525 Rolling Rd
Suite 222
Manassas, VA 20110-3647
Phone (703) 334-0720
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112492182 | Other | NY | PROVIDER ID# |
| KP545 | Other | NY | OXFORD |
| 0084086 | Other | NY | GHI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4660 Kenmore Ave
Suite 900
Alexandria, VA 22304-1383
Phone (703) 820-7000
Hospital & facility affiliations
- Inova Home Health LLC
- Virginia Hospital Center
- Inova Alexandria Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148475 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanjeev Kohli, MD PC | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4660 Kenmore Ave
Ste 900
Alexandria, VA 22304
Phone (703) 212-0700
4216 King St
Alexandria, VA 22302
Phone (703) 820-7000
Interoperability endpoints
- nathan.shapiro@bm.eclinicaldirectplus.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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fairfax, VA
- NPI 1710473673
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1992703045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8525 ROLLING RD",
"address_2": "SUITE 222",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201103647",
"telephone_number": "703-334-0720",
"fax_number": "703-334-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8525 ROLLING RD",
"address_2": "SUITE 222",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201103647",
"telephone_number": "703-334-0720",
"fax_number": "703-334-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "NATHAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "148475",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101244821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID#",
"identifier": "112492182",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "KP545",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0084086",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.